Kristina Jo Dix PTA

NPI 1144414962 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1144414962
Gender Female
Enumeration Date 09/05/2007
Last Updated 09/05/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
600 NORTH BLVD W
SUITE D
LEESBURG FL, 34748-5063, US
Phone (352) 787-9300
Fax (352) 787-4522
Business Location
600 NORTH BLVD W
SUITE D
LEESBURG FL, 34748-5063, US
Phone (352) 787-9300
Fax (352) 787-4522
Toxanomy
Taxonomy Code 225200000X
License State Florida
License Number PTA 2074
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According to our database, Mrs. Kristina Jo Dix PTA NPI is 1144414962, taxonomy code is 225200000X and license number is PTA 2074, license state is located at Florida. Kristina Jo Dix PTA physically located at 600 North Blvd W, Leesburg FL, 34748-5063. NPI Number Kristina Jo Dix PTA has the Individual type.

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1144414962 NPI number is provided on an as is basis without warranty of any kind. 1144414962 is maintained by the National Plan & Provider Enumeration System. The contents of Kristina Jo Dix PTA are for informational purposes only.