Individual
MRS. JEANETTE ELAINE BRISSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.T.A
Contact information
Practice address
2031 ALDORO TER, DELTONA, FL 32725-3301
(386) 748-5037
Mailing address
2031 ALDORO TER, DELTONA, FL 32725-3301
(386) 748-5037
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21341
FL
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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