Individual
AMBER CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11304 GRAND PARK AVE, RIVERVIEW, FL 33578-3568
(603) 491-0736
Mailing address
11304 GRAND PARK AVE, RIVERVIEW, FL 33578-3568
(603) 491-0736
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
24762
FL
Other
Enumeration date
05/13/2018
Last updated
05/13/2018
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