Individual
ALLY JAFRATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13506 SUMMERPORT VILLAGE PKWY, SUITE 410, WINDERMERE, FL 34786-7366
(407) 905-9300
(407) 905-9309
Mailing address
13506 SUMMERPORT VILLAGE PKWY, SUITE 410, WINDERMERE, FL 34786-7366
(321) 266-8065
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21776
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000362600
—
FL
01
—
1366698532
GROUP NPI
FL
Enumeration date
08/14/2009
Last updated
02/08/2013
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