Blanca L Irizarry PTA

NPI 1063674836 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1063674836
Gender Female
Enumeration Date 07/02/2008
Last Updated 07/02/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
150 MIDDLE ST
LAKE MARY FL, 32746-3408, US
Phone (877) 832-2955
Fax
Business Location
2222 SULLIVAN TRL
EASTON PA, 18040-7958, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Florida
License Number PTA19994
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According to our database, Blanca L Irizarry PTA NPI is 1063674836, taxonomy code is 225200000X and license number is PTA19994, license state is located at Florida. Blanca L Irizarry PTA physically located at 150 Middle St, Lake Mary FL, 32746-3408. NPI Number Blanca L Irizarry PTA has the Individual type.

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1063674836 NPI number is provided on an as is basis without warranty of any kind. 1063674836 is maintained by the National Plan & Provider Enumeration System. The contents of Blanca L Irizarry PTA are for informational purposes only.