Individual
GENEVIEVE WANESDA RIGUEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
950 S MELLONVILLE AVE, SANFORD, FL 32771-2237
(407) 322-8566
Mailing address
548 ZACHARY DR, APOPKA, FL 32712-2383
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA32807
FL
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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