Individual
COCEL ANN FRIVALDO MORAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 TOMOKA BLVD S, LAKE PLACID, FL 33852-8123
(708) 400-5845
Mailing address
8739 N ELMORE ST, NILES, IL 60714-1943
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070018211
IL
225100000X
Physical Therapist
Primary
26378
FL
Other
Enumeration date
06/03/2013
Last updated
02/12/2019
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