Individual
MS. LISA ANN PRIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
738 BARBARA ST, PALM HARBOR, FL 34684-4604
(727) 226-3350
Mailing address
738 BARBARA ST, PALM HARBOR, FL 34684-4604
(727) 226-3350
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5409
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21564
FL PTA LICENSE
FL
Enumeration date
10/20/2006
Last updated
03/04/2021
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