NPI 1710174131

Janice Lea Felisko, LMT

Practitioner Mechanotherapist Ormond Beach, FL

Practice location

Address: 555 W Granada Blvd STE E10, Ormond Beach, FL 32174-9403
Phone: (386) 383-3627

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MA50221 (FL)

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Registry record

NPI: 1710174131
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Sep 2007
Record last updated: 30 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.