Individual
EDNEL LAUREL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2511 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-1653
(407) 343-1129
Mailing address
13127 MORO CT, WINTER GARDEN, FL 34787-5016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24451
FL
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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