MRS. Lisette Longo, PT

NPI #1043593734 in Port St Lucie, Florida

Provider Information

NPI Number: 1043593734
Entity Type: Individual
Name: MRS. Lisette Longo, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 20, 2011
Last Updated: Feb 7, 2020

Practice Location

Address: 9077 S FEDERAL HWY
City: Port St Lucie
State: Florida
ZIP Code: 34952-3405
Phone: (772) 335-4770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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