CHRISTIAN POCHOLO VICMUDO

ORLANDO, FL
NPI1639808470
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT38276)
Additional Taxonomies225100000X Physical Therapist
Enumeration Date2022-06-07
Last Update Date2022-06-22
Business Address
CHRISTIAN POCHOLO VICMUDO
5165 ADANSON ST
ORLANDO, FL 32804-1331
Phone number: 352-394-0212
Mailing Address
CHRISTIAN POCHOLO VICMUDO
PO BOX 120547
CLERMONT, FL 34712-0547
Phone number: