Most Relevant Information
Provider Data
| NPI Number: | 1003000381 |
| Provider Name: | LUTHER QUITORIANO BRAGANZA PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT21044 |
Most Important Dates
| Enumeration Date: | 08/30/2007 |
| Last Updated: | 08/30/2007 |
Provider Practice Location
134 N OLD DIXIE HWY
LADY LAKE
FL
321594347
Practice Location Phone/Fax
| Phone: | 3527516627 |
| Fax: |
Provider Mailing Location
10212 GRANITE CT
LEESBURG
FL
347883130
Provider Mailing Phone/Fax
| Phone: | 3527516627 |
| Fax: |