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Organization

REACH THERAPY AND WELLNESS

Active
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Organization

REACH THERAPY AND WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SEVERO SIASOYCO II PT (ADMINISTRATOR)
(863) 617-3332
Entity
Organization

Contact information

Practice address
2489 LADOGA DR, LAKELAND, FL 33805-9540
(863) 617-3332
Mailing address
2489 LADOGA DR, LAKELAND, FL 33805-9540
(863) 617-3332

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—

Other

Enumeration date
05/13/2020
Last updated
09/14/2021
About Stedi
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