Omar Chagoya
Omar Chagoya is a Physical Therapy Assistant in Bradenton, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2021
Practice location Address checks out
713 30th Ave EBradenton, FL 34208-3913
Phone: (941) 405-2162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence PTA29353 (FL) |
|---|
Record details
| NPI number | 1760076707 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 20, 2021 |
| Last updated in NPPES | February 20, 2021 |
| Certification date | February 20, 2021 |
| Mailing address | 713 30th Ave E, Bradenton, FL 34208-3913 |
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