Individual
ELEANOR INNOCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 615-7200
Mailing address
8517 SEA HARBOUR LN, APT #306, TEMPLE TERRACE, FL 33637-1045
(904) 233-1975
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
032186
NY
225100000X
Physical Therapist
PT25935
FL
Other
Enumeration date
12/01/2009
Last updated
02/05/2013
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