Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Mar 27, 2007
License(s)
22546 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 911 SE 5TH TER | Pompano Beach, FL 33060-8133 | 954-861-7876 |
| LOCATION | 6152 VERDE TRL N | Boca Raton, FL 33433-2430 | 561-852-4173 |
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