Individual
ANNA LIBERTY CISMESIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1814 30TH ST W, BRADENTON, FL 34205-3138
(941) 840-9958
Mailing address
1814 30TH ST W, BRADENTON, FL 34205-3138
(941) 840-9958
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/10/2012
Last updated
05/14/2013
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