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Organization
MEDPRO
Active
Organization
MEDPRO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA GIBILISCO (DIRECTOR OF INTERNATIONAL THERAPY)
(866) 608-2670
Entity
Organization
Contact information
Practice address
3201 W COMMERCIAL BLVD STE 116, FORT LAUDERDALE, FL 33309-3444
(954) 332-4445
Mailing address
3201 W COMMERCIAL BLVD STE 116, FORT LAUDERDALE, FL 33309-3444
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3644
NM
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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