Whalio Doctors

NPI 1053733212

Rose Parish

Practitioner Physical Therapy Assistant Port Orange, FL

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 041.0094851 (FL)

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.