Individual
ROMAN ROMANENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1111 DRURY LN, ENGLEWOOD, FL 34224-4545
(941) 474-9371
Mailing address
18 PEBBLE BEACH RD, ROTONDA WEST, FL 33947-2147
(941) 281-0991
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22674
FL
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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