MICHAEL ROBERT DE RIESTHAL

GAINESVILLE, FL
NPI1124103981
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA 6898)
Enumeration Date2006-10-27
Last Update Date2007-07-08
Business Address
Dr. MICHAEL ROBERT DE RIESTHAL Ph.D
1601 SW ARCHER RD NEUROLOGY SERVICE (127)
GAINESVILLE, FL 32608-1135
Phone number: 352-376-1611
Mailing Address
Dr. MICHAEL ROBERT DE RIESTHAL Ph.D
9488 NW 24TH RD
GAINESVILLE, FL 32606-9203
Phone number: 352-331-1786
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