LA-FERN FRAY

LAKE WALES, FL
NPI1710447842
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  pta29246)
Enumeration Date2019-03-24
Last Update Date2019-03-24
Business Address
LA-FERN FRAY PTA
512 S 11TH ST
LAKE WALES, FL 33853-4901
Phone number: 727-967-2972
Mailing Address
LA-FERN FRAY PTA
PO BOX 702
LAKELAND, FL 33802-0702
Phone number: 727-967-2972