NPI 1639366156

Reginaldo Pardilla Moreno, RPT

Practitioner Physical Therapist Bayonet Point, FL

Practice location

Address: 7236 State Road 52 Suite 4, Bayonet Point, FL 34667-6789
Phone: (727) 946-0884
Mailing address: 365 Wood Dove Ave, Tarpon Springs, FL 34689-7530

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT#0005432 (FL)

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Registry record

NPI: 1639366156
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Sep 2007
Record last updated: 28 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.