Individual
JULIE M CORTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1408 W LAKE PARKER DR, LAKELAND, FL 33805-3722
(863) 212-4687
Mailing address
1408 W LAKE PARKER DR, LAKELAND, FL 33805-3722
(863) 212-4687
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25828
FL
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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