Individual
MISS RAPHAELLA PETROSINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
5030 CHAMPION BLVD STE D9, BOCA RATON, FL 33496-2497
(561) 432-0111
Mailing address
5030 CHAMPION BLVD STE D9, BOCA RATON, FL 33496-2497
(561) 432-0111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4199
FL
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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