Individual
MRS. JANICE LEA FELISKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
555 W GRANADA BLVD STE E10, ORMOND BEACH, FL 32174-9403
(386) 383-3627
Mailing address
555 W GRANADA BLVD STE E10, ORMOND BEACH, FL 32174-9403
(386) 383-3627
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA50221
FL
Other
Enumeration date
09/30/2007
Last updated
09/30/2007
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