THERESA L HYATT

PORT ORANGE, FL
NPI1295916096
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA 19577)
Enumeration Date2007-11-20
Last Update Date2007-11-20
Business Address
-- THERESA L HYATT PTA
1675 DUNLAWTON AVE
PORT ORANGE, FL 32127-4755
Phone number: 386-761-1055
Mailing Address
-- THERESA L HYATT PTA
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number: