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COLBERT BRIOCHE

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1891393815

Individual Registrant:
 COLBERT  BRIOCHE 
Gender: M
Sole Proprietor

Location and contact information for practice:
5432 WELLCRAFT DR  GREENACRES, FL 33463-5971 US
Tel: 561-317-7484  Fax: --

Contact information for business:
5432 WELLCRAFT DR  GREENACRES, FL 33463-5971 US
Tel: --  Fax: --

Registration Information:
NPI: 1891393815
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
FL

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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