BRIAN SCOTT MICHNO

HEATHROW, FL
NPI1710116017
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NC  12211)
Enumeration Date2009-07-08
Last Update Date2009-07-08
Business Address
-- BRIAN SCOTT MICHNO
1485 INTERNATIONAL PKWY 2051
HEATHROW, FL 32746-5303
Phone number: 800-798-6035
Mailing Address
-- BRIAN SCOTT MICHNO
105 1ST ST # B
ST AUGUSTINE, FL 32080-6364
Phone number:
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