Individual
MARIA CARBONARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
710 N SUN DR, LAKE MARY, FL 32746-2507
(407) 878-7876
Mailing address
710 N SUN DR, LAKE MARY, FL 32746-2507
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
25722
FL
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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