Individual
JAMIE TAMAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 ZANDER DR, GRAND ISLAND, FL 32735-9019
(352) 308-6867
Mailing address
3181 ZANDER DR, GRAND ISLAND, FL 32735-9019
(352) 308-6867
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
48449
CA
225200000X
Physical Therapy Assistant
Primary
A6537
NC
225200000X
Physical Therapy Assistant
PTA24220
FL
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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