SHENEVIA NICHOLE BOSTICK

LECANTO, FL
NPI1881983583
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA 22576)
Enumeration Date2011-04-04
Last Update Date2011-04-04
Business Address
-- SHENEVIA NICHOLE BOSTICK
279 N LECANTO HWY
LECANTO, FL 34461-9195
Phone number: 352-746-9143
Mailing Address
-- SHENEVIA NICHOLE BOSTICK
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 352-382-1141
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