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1124210331
VIVIAN FONTICIELLA
MIAMI, FL
NPI
1124210331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT21912)
Enumeration Date
2007-08-11
Last Update Date
2007-08-11
Business Address
-- VIVIAN FONTICIELLA PT
200 S BISCAYNE BLVD SUITE: 15-A
MIAMI, FL 33131-2310
Phone number: 305-381-6224
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Mailing Address
-- VIVIAN FONTICIELLA PT
1172 S DIXIE HWY #530
CORAL GABLES, FL 33146-2918
Phone number: 305-381-6224
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