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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