ALLAN GASNER DERIZE

EUSTIS, FL
NPI1386304459
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  31681)
Enumeration Date2021-12-30
Last Update Date2021-12-30
Business Address
ALLAN GASNER DERIZE
863 MARIETTA LN
EUSTIS, FL 32726-5143
Phone number: 352-357-4147
Mailing Address
ALLAN GASNER DERIZE
863 MARIETTA LN
EUSTIS, FL 32726-5143
Phone number: 352-357-4147
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