LISA KATHERINE CHURCH

BRANDON, FL
NPI1821580119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  25399)
Enumeration Date2018-06-01
Last Update Date2018-06-01
Business Address
LISA KATHERINE CHURCH PTA
1129 PROFESSIONAL PARK DR
BRANDON, FL 33511-4887
Phone number: 813-876-8771
Mailing Address
LISA KATHERINE CHURCH PTA
3909 BUTTONWOOD CT
BRANDON, FL 33511-7962
Phone number: 813-951-2725
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