STEPHANIE LYNN DERISO

FORT MYERS, FL
NPI1639800402
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA20616)
Enumeration Date2022-06-22
Last Update Date2022-06-22
Business Address
STEPHANIE LYNN DERISO PTA
3033 WINKLER AVE
FORT MYERS, FL 33916-9522
Phone number: 239-277-7070
Mailing Address
STEPHANIE LYNN DERISO PTA
3033 WINKLER AVE
FORT MYERS, FL 33916-9522
Phone number: 239-277-7070