Individual
CASEY EL SESY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
208 KNIGHTS BRIDGE PL, DEBARY, FL 32713-2326
(239) 249-2172
Mailing address
208 KNIGHTS BRIDGE PL, DEBARY, FL 32713-2326
(239) 249-2172
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26777
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CELSESY0466
—
FL
Enumeration date
08/09/2016
Last updated
08/09/2016
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