MICHAEL RAYMOND PETRARCA

FORT MYERS, FL
NPI1932351822
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL  977)
Enumeration Date2008-10-22
Last Update Date2008-10-22
Business Address
Mr. MICHAEL RAYMOND PETRARCA M.S., A.T.C
12570 VENICIA DR
FORT MYERS, FL 33913-8145
Phone number: 603-978-1261
Mailing Address
Mr. MICHAEL RAYMOND PETRARCA M.S., A.T.C
12570 VENICIA DR
FORT MYERS, FL 33913-8145
Phone number: 603-978-1261