Individual
HEATHER GINGRASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 S HIGHWAY 27, SUITE B201, CLERMONT, FL 34711-6816
(352) 394-0212
(352) 241-6361
Mailing address
PO BOX 120547, CLERMONT, FL 34712-0547
(352) 394-0212
(352) 241-6361
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26088
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA26088
FLORIDA PTA LICENSE
FL
Enumeration date
01/07/2016
Last updated
01/07/2016
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