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Individual

MISS ROSINA ANN MARZULLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
6015 HILLTOP AVE, PANAMA CITY BEACH, FL 32408-3601
(850) 866-6734
Mailing address
6015 HILLTOP AVE, PANAMA CITY BEACH, FL 32408-3601
(850) 866-6734

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
18813
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18813
PTA LICENSE NUMBER
FL
Enumeration date
09/04/2008
Last updated
09/04/2008
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