Raul Lazaro Vega, PTA
NPI #1336782028 in Green Cove Springs, Florida
Provider Information
- NPI Number
- 1336782028
- Entity Type
- Individual
- Name
- Raul Lazaro Vega, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Oct 25, 2019
- Last Updated
- Oct 25, 2019
Practice Location
- Address
- 803 OAK ST
- State
- Florida
- ZIP Code
- 32043-4317
- Phone
- (904) 284-5606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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