Leo Mancini, PTA
NPI #1750404547 in Crescent City, Florida
Provider Information
- NPI Number
- 1750404547
- Entity Type
- Individual
- Name
- Leo Mancini, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- PTA
- Enumeration Date
- Apr 9, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 405 S SUMMIT STREET
- City
- Crescent City
- State
- Florida
- ZIP Code
- 32112
- Phone
- (386) 698-4720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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