Individual
LYNDA DIANE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
16002 LAKESHORE VILLA DR, TAMPA, FL 33613-1367
(813) 968-5093
(813) 968-5934
Mailing address
16002 LAKESHORE VILLA DR, TAMPA, FL 33613-1367
(813) 968-5093
(813) 968-5934
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA619
FL
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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