Sidney Srivibul

NPI #1518578038 in Keystone Heights, Florida

Provider Information

NPI Number: 1518578038
Entity Type: Individual
Name: Sidney Srivibul
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 10, 2020
Last Updated: Jun 26, 2024

Practice Location

Address: 465 S LAWRENCE BLVD
City: Keystone Heights
State: Florida
ZIP Code: 32656-9222
Phone: (352) 473-7560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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