Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
May 8, 2026
License(s)
PT44094 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 13739 HAWKEYE DR | Orlando, FL 32837-8020 | 407-232-0446 |
| LOCATION | 2400 N ORANGE BLOSSOM TRL STE 201 | Kissimmee, FL 34744-2307 | 407-933-6684 |
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