AUTUM BLAIR DENMARK

LAKE CITY, FL
NPI1922378371
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA23022)
Enumeration Date2012-01-03
Last Update Date2012-01-03
Business Address
-- AUTUM BLAIR DENMARK P.T.A.
404 NW HALL OF FAME DR
LAKE CITY, FL 32055-4833
Phone number: 386-755-3164
Mailing Address
-- AUTUM BLAIR DENMARK P.T.A.
404 NW HALL OF FAME DR
LAKE CITY, FL 32055-4833
Phone number: 386-755-3164
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