Individual
MRS. CAROLE MALLONEE MOFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1361 E IRLO BRONSON MEMORIAL HWY, SAINT CLOUD, FL 34771-5823
(407) 957-1454
(407) 957-1706
Mailing address
5295 STARLINE DR, SAINT CLOUD, FL 34771-9030
(407) 791-6943
(407) 957-1706
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 3010
FL
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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