Individual
MRS. MARIELYNE P CUOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L/PTA
Contact information
Practice address
8050 OLD CR 54, NEW PORT RICHEY, FL 34653-6457
(727) 375-0600
(727) 375-1117
Mailing address
9800 BALSARIDGE CT, TRINITY, FL 34655-4913
(727) 376-6331
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA16361
FL
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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