DOUGLAS MANCILLA

OLDSMAR, FL
NPI1790259562
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT34144)
Enumeration Date2019-01-15
Last Update Date2022-04-07
Business Address
DOUGLAS MANCILLA PT, DPT
3180 CURLEW RD
OLDSMAR, FL 34677-2629
Phone number: 813-343-4840
Mailing Address
DOUGLAS MANCILLA PT, DPT
21756 STATE ROAD 54 STE 102
LUTZ, FL 33549-2905
Phone number: 727-475-5540
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