ALISA DANGSUPA

FORT MYERS, FL
NPI1235365115
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  24639)
Enumeration Date2009-06-05
Last Update Date2009-06-05
Business Address
-- ALISA DANGSUPA P.T., D.P.T.
3820 COLONIAL BLVD SUITE 103
FORT MYERS, FL 33966-1094
Phone number: 239-275-4411
Mailing Address
-- ALISA DANGSUPA P.T., D.P.T.
15340 WILL LEW LN
FORT MYERS, FL 33908-4247
Phone number: 813-431-2052
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