Individual
ANDRE NINO OSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9685 LAKE NONA VILLAGE PL STE 205, ORLANDO, FL 32827-7322
(407) 972-0065
Mailing address
164 MANTE DR, KISSIMMEE, FL 34743-7718
(917) 517-5363
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
35735
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35735
LICENSE NUMBER
FL
Enumeration date
09/30/2005
Last updated
08/28/2024
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