Individual
CARRIE LEE CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
401 S FREMONT AVE, TAMPA, FL 33606-2003
(866) 869-4464
Mailing address
401 S FREMONT AVE, TAMPA, FL 33606-2003
(813) 468-6884
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA18121
FL
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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