Individual
MR. JECOA G SOWILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
265 MORTON LN, WINTER SPRINGS, FL 32708-3639
(321) 527-1717
Mailing address
265 MORTON LN, WINTER SPRINGS, FL 32708-3639
(321) 527-1717
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 24421
FL
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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