NYDIA I VISSEPO

LAKE WORTH, FL
NPI1750620548
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA1901)
Enumeration Date2013-02-13
Last Update Date2013-02-13
Business Address
-- NYDIA I VISSEPO
6663 SPRING GARDEN RUN
LAKE WORTH, FL 33463-7431
Phone number: 561-351-9277
Mailing Address
-- NYDIA I VISSEPO
6663 SPRING GARDEN RUN
LAKE WORTH, FL 33463-7431
Phone number: 561-351-9277
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