| Contact Information | |
|---|---|
| First Name | Phil |
| Last Name | Giarratano |
| Address | 9235 SW 8th Street |
| City | Boca Raton |
| State | FL |
| Province | |
| Zip/Postal Code | 33428 |
| Country | -- |
| Work Phone | - |
| Fax | |
| tano1945@msn.com | |
| Alternate Email | |
| Website Address | |
| Gender | Male |
| Injury Information | |
| The injured person is | Self |
| Name of Injured | Phil - Giarratano |
| Date of Injury | 01/07/1997 |
| Type of Injury | Traumatic |