Individual
MR. EMILIANO D TESALONA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
162 NW SWANN MILL CIR, PORT ST LUCIE, FL 34986-3592
(772) 285-5403
(772) 345-4979
Mailing address
162 NW SWANN MILL CIR, PORT ST LUCIE, FL 34986-3592
(772) 285-5403
(772) 345-4979
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA15944
FL
Other
Enumeration date
09/22/2009
Last updated
05/25/2011
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