Individual
BETH CHRISTINE KERNEKLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8936 77TH TER E UNIT 101, LAKEWOOD RANCH, FL 34202-6419
(941) 758-7300
Mailing address
8936 77TH TER E UNIT 101, LAKEWOOD RANCH, FL 34202-6419
(941) 758-7300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA. 05235
OH
363A00000X
Physician Assistant
Primary
91105
FL
Other
Enumeration date
08/20/2008
Last updated
07/25/2022
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