DUSTIN ELY

LAKELAND, FL
NPI1871907808
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA22832)
Enumeration Date2014-06-18
Last Update Date2014-06-18
Business Address
Mr. DUSTIN ELY
411 E ORANGE ST SUITE 204
LAKELAND, FL 33801-5054
Phone number: 863-617-9400
Mailing Address
Mr. DUSTIN ELY
6470 HORIZON POINT DR
LAKELAND, FL 33813-5407
Phone number:
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