Individual
JESSICA LYNNE LAFALCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
5901 BROKEN SOUND PKWY STE 500, BOCA RATON, FL 33487-2791
(800) 875-8999
(561) 417-7443
Mailing address
22258 ELMIRA BLVD, PORT CHARLOTTE, FL 33952-8413
(941) 204-1051
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
20971
FL
225200000X
Physical Therapy Assistant
Primary
9059
CA
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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