Individual
MRS. JANET KELLY MORTON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
195 MATTIE KELLY BLVD, DESTIN, FL 32541-2811
(850) 654-4588
(850) 424-7483
Mailing address
1216 WHITEWOOD WAY, NICEVILLE, FL 32578-4216
(850) 424-7483
(850) 424-7483
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 1680
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA1680
LICENSE # PTA1680
FL
Enumeration date
11/14/2014
Last updated
11/14/2014
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