Theresa Audrey Winnie PTA

NPI 1023256633 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1023256633
Gender Female
Enumeration Date 02/04/2009
Last Updated 02/04/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
20726 W PENNSYLVANIA AVE
DUNNELLON FL, 34431-6717, US
Phone (352) 465-5880
Fax (352) 465-5889
Business Location
8455 S SUNCOAST BLVD
HOMOSASSA FL, 34446-5066, US
Phone (352) 465-5880
Fax (352) 465-5889
Toxanomy
Taxonomy Code 225200000X
License State Florida
License Number PTA21570
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According to our database, Ms. Theresa Audrey Winnie PTA NPI is 1023256633, taxonomy code is 225200000X and license number is PTA21570, license state is located at Florida. Theresa Audrey Winnie PTA physically located at 20726 W Pennsylvania Ave, Dunnellon FL, 34431-6717. NPI Number Theresa Audrey Winnie PTA has the Individual type.

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1023256633 NPI number is provided on an as is basis without warranty of any kind. 1023256633 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Audrey Winnie PTA are for informational purposes only.