ALIA J WANTUCH

PORT ORANGE, FL
NPI1164026902
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA30714)
Enumeration Date2020-11-23
Last Update Date2020-11-23
Business Address
ALIA J WANTUCH PTA
4606 CLYDE MORRIS BLVD STE 1D
PORT ORANGE, FL 32129-7453
Phone number: 386-492-2986
Mailing Address
ALIA J WANTUCH PTA
1820 CREEKWATER BLVD
PORT ORANGE, FL 32128-4088
Phone number: 386-871-4431
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