LISA M BACK

CRYSTAL RIVER, FL
NPI1174781983
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA18639)
Enumeration Date2008-05-29
Last Update Date2008-05-29
Business Address
-- LISA M BACK
394 N SUNCOAST BLVD SUITE 40
CRYSTAL RIVER, FL 34429-5466
Phone number: 352-795-6225
Mailing Address
-- LISA M BACK
394 N SUNCOAST BLVD SUITE 40
CRYSTAL RIVER, FL 34429-5466
Phone number: 352-795-6225
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