TENICA FOWLKES

PORT ORANGE, FL
NPI1104188333
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: PA  TE1000273)
Enumeration Date2012-06-13
Last Update Date2012-06-13
Business Address
-- TENICA FOWLKES
5535 S WILLIAMSON BLVD SUITE 774
PORT ORANGE, FL 32128-8311
Phone number: 386-756-4395
Mailing Address
-- TENICA FOWLKES
5535 S WILLIAMSON BLVD SUITE 774
PORT ORANGE, FL 32128-8311
Phone number: 386-756-4395
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