NPI 1609751338

Lara Michaela Vance, PTA

Practitioner Physical Therapy Assistant Lutz, FL

Practice location

Address: 21760 Fl-54 #102, Lutz, FL 33549
Phone: (813) 252-0561
Mailing address: 8435 Panahan Dr, Weeki Wachee, FL 34613-4532

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA30231 (FL)

Other Physical Therapy Assistant providers in Florida →

Registry record

NPI: 1609751338
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Aug 2025
Record last updated: 11 Aug 2025

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.