JUNZEN BALLESIL DOMINGO

LAKE WORTH, FL
NPI1558616052
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT27829)
Enumeration Date2012-07-20
Last Update Date2025-03-24
Business Address
Mr. JUNZEN BALLESIL DOMINGO PT
5269 RIVERMIL LN
LAKE WORTH, FL 33463
Phone number: 561-699-6284
Mailing Address
Mr. JUNZEN BALLESIL DOMINGO PT
5269 RIVERMILL LN
LAKE WORTH, FL 33463-7436
Phone number: 561-699-6284
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