Individual
MR. MICHAEL CIOSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
87 8TH ST, SHALIMAR, FL 32579-1446
(850) 218-3608
Mailing address
87 8TH ST, SHALIMAR, FL 32579-1446
(850) 218-3608
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA47459
FL
Other
Enumeration date
07/15/2007
Last updated
07/15/2007
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