GINNA LORRAINE BOUALI

DELTONA, FL
NPI1720238140
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA 21423)
Enumeration Date2008-09-22
Last Update Date2008-09-22
Business Address
-- GINNA LORRAINE BOUALI
1565 SAXON BLVD STE 301
DELTONA, FL 32725-5836
Phone number: 386-851-0901
Mailing Address
-- GINNA LORRAINE BOUALI
107 BELCHASE CT
DEBARY, FL 32713-2209
Phone number: 407-489-0785