JOHN MILES FRISVOLD

PALATKA, FL
NPI1336230796
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT21516)
Enumeration Date2006-09-28
Last Update Date2008-03-14
Business Address
-- JOHN MILES FRISVOLD DPT
3715 CRILL AVE
PALATKA, FL 32177-9168
Phone number: 386-329-2613
Mailing Address
-- JOHN MILES FRISVOLD DPT
115 E FOREST PARK DR
PALATKA, FL 32177-6605
Phone number: 386-937-5073
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