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1063455434
MARY BERNADETTE KLOTH
ORLANDO, FL
NPI
1063455434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA 19736)
Enumeration Date
2006-06-14
Last Update Date
2007-07-08
Business Address
Mrs. MARY BERNADETTE KLOTH LPTA
5201 RAYMOND ST
ORLANDO, FL 32803-8208
Phone number: 407-599-1500
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Mailing Address
Mrs. MARY BERNADETTE KLOTH LPTA
952 BIRD BAY CT
LAKE MARY, FL 32746-2003
Phone number: 407-330-0901
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