Individual
COREY RAPHAEL ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
60 COLUMBIA ST, ORLANDO, FL 32806-1115
(561) 596-2993
Mailing address
2685 BONGART RD, WINTER PARK, FL 32792-2611
(786) 385-5458
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT33615
FL
2251X0800X
Orthopedic Physical Therapist
Primary
PT33615
FL
Other
Enumeration date
07/12/2023
Last updated
08/22/2023
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