Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Jun 21, 2012
License(s)
PT021993 (PA), 034821 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 5800 W SAMPLE RD APT 206 | Coral Springs, FL 33067-3234 | 808-285-1042 |
| LOCATION | 5800 W SAMPLE RD APT 206 | Coral Springs, FL 33067-3234 | 808-285-1042 |
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