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1053733212
ROSE PARISH
PORT ORANGE, FL
NPI
1053733212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 041.0094851)
Enumeration Date
2014-01-07
Last Update Date
2014-01-07
Business Address
-- ROSE PARISH
5535 S WILLIAMSON BLVD STE 774
PORT ORANGE, FL 32128-8311
Phone number: 386-756-4395
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Mailing Address
-- ROSE PARISH
410 GLOVER RD
GROTON, VT 05046-3509
Phone number:
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