Individual
MR. JOSEPH O.E. MICIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
118 ARAPAHO TRL, CRESTVIEW, FL 32536-9503
(850) 496-4948
Mailing address
118 ARAPAHO TRL, CRESTVIEW, FL 32536-9503
(850) 496-4948
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA 43423
FL
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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