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1831102375
TRENT THEODORE TEDESCO
FORT MYERS, FL
NPI
1831102375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL 17942)
Enumeration Date
2006-08-15
Last Update Date
2007-07-08
Business Address
Mr. TRENT THEODORE TEDESCO MPT
1316 LONGWOOD DR
FORT MYERS, FL 33919-1821
Phone number: 239-218-5140
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Mailing Address
Mr. TRENT THEODORE TEDESCO MPT
1316 LONGWOOD DR
FORT MYERS, FL 33919-1821
Phone number: 239-218-5140
Copy
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