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Individual

MRS. CELIA ANN HERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
994 NE 743RD ST, OLD TOWN, FL 32680-7540
(352) 356-1041
(352) 542-7964
Mailing address
994 NE 743RD ST, OLD TOWN, FL 32680-7540
(352) 356-1041
(352) 542-7964

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 19765
FL

Other

Enumeration date
11/26/2011
Last updated
11/26/2011
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