IndividualActive
Supanee Siriwarothakul
NPI 1053434969 · Physical Therapist · Parrish, FL
Provider details
- NPI number
- 1053434969
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PT10422 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
12038 Wallingford Way
Parrish, FL 34219-7544
Phone: (941) 447-9688
Approximate (ZIP-level) locationGet directions
Mailing address
12038 Wallingford Way
Parrish, FL 34219-7544
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.