NPI 1508585241

Peter James Vergara Campomanes, PTA

Practitioner Physical Therapy Assistant Celebration, FL

Practice location

Address: 400 Celebration Pl # C200, Celebration, FL 34747-4970
Phone: (407) 303-4003
Mailing address: 1138 S Pine Ridge Cir, Sanford, FL 32773-4806

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 25847 (FL)

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Registry record

NPI: 1508585241
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Aug 2022
Record last updated: 25 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.