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Individual

JENNIFER CISLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
15127 S JOG RD STE 210, DELRAY BEACH, FL 33446-1251
(561) 498-1098
(561) 495-2524
Mailing address
23331 BOCA TRACE DR, BOCA RATON, FL 33433-7641
(954) 560-2141

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31601
FL

Other

Enumeration date
11/05/2021
Last updated
11/29/2021
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