IRVING HAROLD ENSOR

HOMOSASSA, FL
NPI1265737191
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA 22458)
Enumeration Date2011-01-25
Last Update Date2011-01-26
Business Address
-- IRVING HAROLD ENSOR PTA
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 352-382-1141
Mailing Address
-- IRVING HAROLD ENSOR PTA
14235 EDWINOLA WAY ROOM 831
DADE CITY, FL 33523-3763
Phone number: 352-567-5910
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