Whalio Doctors

NPI 1053741256

Denise Bush Overlock, PTA

Practitioner Physical Therapy Assistant Winter Haven, FL

Practice location

Address
1601 6th St SE Suite B, Winter Haven, FL 33880-4605
Phone
(863) 294-0350
Fax
(863) 294-0381
Mailing address
1490 Avenue H NE, Winter Haven, FL 33881-4353

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA9272 (FL)

Registry record

NPI
1053741256
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Nov 2013
Record last updated
24 Sep 2016

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.