Most Relevant Information
Provider Data
| NPI Number: | 1003648775 |
| Provider Name: | VICTOR PANTOJA |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 42238 |
Most Important Dates
| Enumeration Date: | 08/20/2024 |
| Last Updated: | 08/20/2024 |
Provider Practice Location
12040 S JOG RD
BOYNTON BEACH
FL
334374164
Practice Location Phone/Fax
| Phone: | 5617335083 |
| Fax: |
Provider Mailing Location
4181 NW 10TH TER
OAKLAND PARK
FL
333094604
Provider Mailing Phone/Fax
| Phone: | 9546950468 |
| Fax: |