Individual
DELLA GRACE GUERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13940 US-441 #702, ALL COAST THERAPY SERVICES OUTPATIENT INC., LADY LAKE, FL 32159
(352) 751-6005
Mailing address
13226 SW 17TH STREET RD, OCALA, FL 34481-4011
(352) 304-2410
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 26378
FL
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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