EILEEN JANIS LACKI

ST PETERSBURG, FL
NPI1740541226
Former NameEILEEN JANIS O'BRIEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA18384)
Enumeration Date2012-05-31
Last Update Date2012-05-31
Business Address
Mrs. EILEEN JANIS LACKI PTA
5535 PARK ST N
ST PETERSBURG, FL 33709-6309
Phone number: 727-209-0579
Mailing Address
Mrs. EILEEN JANIS LACKI PTA
6447 FAIRWAY VIEW BLVD S
ST PETERSBURG, FL 33707-3815
Phone number: 727-209-0579
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