Individual
MRS. DENISE BUSH OVERLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1601 6TH ST SE, SUITE B, WINTER HAVEN, FL 33880-4605
(863) 294-0350
(863) 294-0381
Mailing address
1490 AVENUE H NE, WINTER HAVEN, FL 33881-4353
(863) 291-6414
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA9272
FL
Other
Enumeration date
11/25/2013
Last updated
09/24/2016
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