Diane Siwek Pt INC
Contractor in Boca Raton, FL. Organization (NPI-2).
NPI number1912246737
StatusActive
Last updated in NPPESFeb 14, 2013
Details
- NPI
- 1912246737
- Entity type
- Organization (NPI-2)
- Legal business name
- Diane Siwek Pt INC
- Organization subpart
- No
- Enumeration date
- Feb 14, 2013
- Last updated
- Feb 14, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | PT0001921 | FL | Yes |
Practice location
5299 Park Place CirBoca Raton, FL 33486-1462
Phone 561-573-5955
Mailing address
5299 Park Place CirBoca Raton, FL 33486-1462
Phone 561-573-5955
Authorized official
Diane Siwek
Director
5615735955
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