Individual
JAMES DELEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
64 DANBURY RD, WILTON, CT 06897
(800) 278-0332
Mailing address
4987 GARDEN DR, DELRAY BEACH, FL 33444
(561) 706-4762
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00287600
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QB00287600
STATE OF FLORIDA
FL
Enumeration date
06/15/2012
Last updated
06/15/2012
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