Individual
MRS. PATRICIA LAUGAVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7104 E CALYPSO LOOP, INVERNESS, FL 34453-1309
(352) 302-5286
Mailing address
7104 E CALYPSO LOOP, INVERNESS, FL 34453-1309
(352) 302-5286
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001441
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106898
MEDICARE ID
FL
Enumeration date
05/18/2009
Last updated
05/09/2016
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