Individual
LISA SLAY JARRIEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
332 SW 32ND STREET, OKEECHOBEE, FL 34974
(863) 467-6669
(863) 467-6674
Mailing address
2457 SW 9TH LANE, OKEECHOBEE, FL 34974
(863) 467-6669
(863) 467-6674
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19185
FL
Other
Enumeration date
05/02/2006
Last updated
07/08/2007
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