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1467906800
IVY ENTING
RIVERVIEW, FL
NPI
1467906800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT 24423)
Enumeration Date
2016-08-14
Last Update Date
2016-08-14
Business Address
-- IVY ENTING PT
11001 POND PINE DR
RIVERVIEW, FL 33569-2235
Phone number: 813-410-4696
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Mailing Address
-- IVY ENTING PT
11001 POND PINE DR
RIVERVIEW, FL 33569-2235
Phone number: 813-410-4696
Copy
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