Individual
DR. SIMEON ALFONSO LAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, MTC, CFC
Contact information
Practice address
11603 SHELDON RD, TAMPA, FL 33626-4306
(813) 792-9843
(813) 792-9853
Mailing address
11603 SHELDON RD, TAMPA, FL 33626-4306
(813) 792-9894
(813) 792-9853
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT0009187
FL
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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