MRS. Johnnie L Puccio, PTA, LMT
NPI #1083906366 in W Melbourne, Florida
Provider Information
- NPI Number
- 1083906366
- Entity Type
- Individual
- Name
- MRS. Johnnie L Puccio, PTA, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA, LMT
- Enumeration Date
- May 5, 2011
- Last Updated
- May 5, 2011
Practice Location
- Address
- 2129 W NEW HAVEN AVE
- City
- W Melbourne
- State
- Florida
- ZIP Code
- 32904-3875
- Phone
- (321) 723-8299
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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