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Individual

DANIEL JOSEPH LAPOLLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1275 GRANADA BLVD, SUITE 4B2, ORMOND BEACH, FL 32174
(386) 615-1112
(386) 615-1164
Mailing address
1275 GRANADA BLVD, SUITE 4B2, ORMOND BEACH, FL 32174
(386) 615-1112
(386) 615-1164

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25717
FL

Other

Enumeration date
06/03/2015
Last updated
08/04/2015
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