LANCEY BAZILE

ORLANDO, FL
NPI1972257822
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  31567)
Enumeration Date2022-02-09
Last Update Date2022-02-09
Business Address
LANCEY BAZILE
215 ANNIE ST
ORLANDO, FL 32806-1207
Phone number: 407-841-4371
Mailing Address
LANCEY BAZILE
215 ANNIE ST
ORLANDO, FL 32806-1207
Phone number: 407-841-4371