NPI 1053733212
Rose Parish
Practice location
- Address
- 5535 S Williamson Blvd STE 774, Port Orange, FL 32128-8311
- Phone
- (386) 756-4395
- Mailing address
- 410 Glover Rd, Groton, VT 05046-3509
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1053733212
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Jan 2014
- Record last updated
- 7 Jan 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.