Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Apr 27, 2010
License(s)
PT25599 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2553 FIFESHIRE DR | Winter Park, FL 32792-4735 | |
| LOCATION | 6000 TURKEY LAKE RD STE 114 | Orlando, FL 32819-4205 | 321-347-8419 |
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