Individual
MR. RONAN LEVA ROQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
189 COVERED BRIDGE DRIVE, OCOEE, FL 34761-3351
(407) 905-0365
(407) 905-0365
Mailing address
189 COVERED BRIDGE DRIVE, OCOEE, FL 34761-3351
(407) 905-0365
(407) 905-0365
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT 11025
FL
Other
Enumeration date
09/12/2006
Last updated
07/08/2007
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