Individual
ROBERT J MORTILLARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
33100 US HIGHWAY 19 N, PALM HARBOR, FL 34684-3127
(727) 789-6008
(727) 789-0716
Mailing address
3319 HEARTHSTONE CT, HOLIDAY, FL 34691-2531
(727) 938-8384
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA9421
FL
Other
Enumeration date
06/26/2007
Last updated
07/01/2008
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