Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MYRIAM VICIOSO
Active Sole ProprietorMRS. MYRIAM VICIOSO is a Physical Therapy Assistant healthcare provider located in BUSHNELL, Florida. NPI 1124240007 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BUSHNELL, FL
Registration Details
- NPI Number
- 1124240007
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 2, 2007 (19.26028235989 yrs)
- Last Updated
- Sep 14, 2011
- License
-
PT11412 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
124 S FLORIDA STBUSHNELL, FL, 335136704Browse FL providers · Browse ZIP 33513
- Phone
- 3527938661
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BUSHNELL, FL
| Name | Credential | NPI |
|---|---|---|
| MR. BAHAA R GERGES | RPT | 1174745020 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.