LISA JANE BIRGE

BARTOW, FL
NPI1235723339
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA17774)
Enumeration Date2021-03-01
Last Update Date2021-03-01
Business Address
LISA JANE BIRGE PTA
2055 E GEORGIA ST
BARTOW, FL 33830-6799
Phone number: 863-533-0578
Mailing Address
LISA JANE BIRGE PTA
1845 N CAROLINA AVE
BARTOW, FL 33830-9383
Phone number: 863-709-7360