Jean Ann Goodpasture PTA

NPI 1396882510 - Specialist - 174400000X

NPI Details
NPI 1396882510
Gender Female
Enumeration Date 01/30/2007
Last Updated 11/24/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
2202 BRIGADOON DR
CLEARWATER FL, 33759-2912, US
Phone (727) 423-3519
Fax
Business Location
2202 BRIGADOON DR
CLEARWATER FL, 33759-2912, US
Phone (727) 423-3519
Fax
Toxanomy
Taxonomy Code 174400000X
License State Florida
License Number PTA19167
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According to our database, Ms. Jean Ann Goodpasture PTA NPI is 1396882510, taxonomy code is 174400000X and license number is PTA19167, license state is located at Florida. Jean Ann Goodpasture PTA physically located at 2202 Brigadoon Dr, Clearwater FL, 33759-2912. NPI Number Jean Ann Goodpasture PTA has the Individual type.

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1396882510 NPI number is provided on an as is basis without warranty of any kind. 1396882510 is maintained by the National Plan & Provider Enumeration System. The contents of Jean Ann Goodpasture PTA are for informational purposes only.