Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 21802 | FL |
NPI | 1013254309 |
---|---|
Provider Name | Mr. Joseph F Ciarlante |
First Address | Winter Haven, FL 33884-2442 |
Second Address | Winter Haven, FL 33884-2442 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2013 |
Last Update Date | 07/01/2013 |