MIKHAIL YATSISHIN

JACKSONVILLE, FL
NPI1548825219
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  29230)
Enumeration Date2019-05-07
Last Update Date2019-05-07
Business Address
MIKHAIL YATSISHIN PTA
13990 BARTRAM PARK BLVD UNIT 422
JACKSONVILLE, FL 32258-5546
Phone number: 315-395-6901
Mailing Address
MIKHAIL YATSISHIN PTA
13990 BARTRAM PARK BLVD UNIT 422
JACKSONVILLE, FL 32258-5546
Phone number: 315-395-6901