Individual
JENNY PAMBIANCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
125 ALMA BLVD, MERRITT ISLAND, FL 32953-4345
(321) 453-0202
Mailing address
125 ALMA BLVD, GENESIS REHAB SERVICES, MERRITT ISLAND, FL 32953
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23860
FL
Other
Enumeration date
12/31/2013
Last updated
12/09/2014
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