Individual
EMILY SIANGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4001 VIRGINIA AVE, SUITE A, FORT PIERCE, FL 34981-5577
(772) 462-6636
Mailing address
4001 VIRGINIA AVE, SUITE A, FORT PIERCE, FL 34981-5577
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT9973
FL
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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