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Individual

ANTHONY PAUL GRISCTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPTA

Contact information

Practice address
246 AGUA VISTA ST, DEBARY, FL 32713-3706
(386) 753-9982
Mailing address
246 AGUA VISTA ST, DEBARY, FL 32713-3706
(386) 753-9982

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
19397
FL

Other

Enumeration date
09/30/2008
Last updated
09/30/2008
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