Individual
BLANCA L IRIZARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
150 MIDDLE ST, LAKE MARY, FL 32746-3408
(877) 832-2955
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19994
FL
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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