Individual
MABELLE TERCERO MCPHILOMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
177 BRENTLEY LN, ORANGE PARK, FL 32065-5615
(951) 796-7268
Mailing address
177 BRENTLEY LN, ORANGE PARK, FL 32065-5615
(951) 796-7268
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT30861
FL
Other
Enumeration date
12/28/2015
Last updated
12/29/2015
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