Individual
MR. JOSEPH M FISCELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1504 INVERNESS ST, PORT CHARLOTTE, FL 33952-4720
(239) 333-5206
Mailing address
1504 INVERNESS ST, PORT CHARLOTTE, FL 33952-4720
(239) 333-5206
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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