Eileen Engquist

NPI 1245501717 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1245501717
Gender Female
Enumeration Date 01/15/2012
Last Updated 01/15/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
9179 SE 130TH LOOP
SUMMERFIELD FL, 34491-9452, US
Phone (352) 452-0749
Fax
Business Location
9179 SE 130TH LOOP
SUMMERFIELD FL, 34491-9452, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Florida
License Number PTA1634
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According to our database, Eileen Engquist NPI is 1245501717, taxonomy code is 225200000X and license number is PTA1634, license state is located at Florida. Eileen Engquist physically located at 9179 Se 130th Loop, Summerfield FL, 34491-9452. NPI Number Eileen Engquist has the Individual type.

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1245501717 NPI number is provided on an as is basis without warranty of any kind. 1245501717 is maintained by the National Plan & Provider Enumeration System. The contents of Eileen Engquist are for informational purposes only.