Individual
LINDA ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 CYPRESS POND RD, PORT ORANGE, FL 32128-6722
(386) 788-1177
Mailing address
50 CYPRESS POND RD, PORT ORANGE, FL 32128-6722
(386) 788-1177
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25130
FL
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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