Individual provider · Type 1 NPI
Leo Mancini, PTA
Specialist · Crescent City, FL
NPI number
1750404547
Active
Practice location
405 S Summit Street
Crescent City, FL 32112
Fax (386) 698-4866
Mailing address
107 George Miller Rd
Hastings, FL 32145-4414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | PTA1429 (FL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1750404547
Leo Mancini, PTA's National Provider Identifier is 1750404547, issued on Apr 9, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Crescent City, FL. The record was last updated on Jul 8, 2007.