EDGAR JOSEPH DEPOOL

STUART, FL
NPI1942449160
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  0012070)
Enumeration Date2009-02-11
Last Update Date2009-02-11
Business Address
Mr. EDGAR JOSEPH DEPOOL pt
104 SE LONITA ST
STUART, FL 34994-3447
Phone number: 772-463-2344
Mailing Address
Mr. EDGAR JOSEPH DEPOOL pt
104 SE LONITA ST
STUART, FL 34994-3447
Phone number: 772-463-2344