IMELDA C LAVARIAS

PORT ORANGE, FL
NPI1205008364
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT6870)
Enumeration Date2008-03-29
Last Update Date2008-03-29
Business Address
-- IMELDA C LAVARIAS
1321 HERBERT ST
PORT ORANGE, FL 32129-4135
Phone number: 386-763-9800
Mailing Address
-- IMELDA C LAVARIAS
1321 HERBERT ST
PORT ORANGE, FL 32129-4135
Phone number: 386-763-9800