Individual
MRS. CYNTHIA A SISULAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14055 TOWN LOOP BLVD, 300, ORLANDO, FL 32837-6106
(262) 720-5855
Mailing address
17532 HILLSIDE DR, MONTVERDE, FL 34756-3184
(262) 720-5855
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
30463
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016455100
—
FL
Enumeration date
07/25/2007
Last updated
01/25/2017
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