GARY LYNN PAINTER

LAKE WALES, FL
NPI1902028632
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA18415)
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
Mr. GARY LYNN PAINTER PTA
410 S 11TH ST
LAKE WALES, FL 33853-4203
Phone number: 863-679-6841
Mailing Address
Mr. GARY LYNN PAINTER PTA
214 QUAIL AVE
SEBRING, FL 33872-3727
Phone number: 863-471-1913