Supanee Siriwarothakul

NPI #1053434969 in Parrish, Florida

Provider Information

NPI Number: 1053434969
Entity Type: Individual
Name: Supanee Siriwarothakul
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Apr 6, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 12038 WALLINGFORD WAY
City: Parrish
State: Florida
ZIP Code: 34219-7544
Phone: (941) 447-9688

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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