Individual
ANDREA DON REXROAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
255 E MAIN ST, LAKE ALFRED, FL 33850-2133
(863) 956-0411
Mailing address
573 TERRANOVA CIR, WINTER HAVEN, FL 33884-3407
(618) 339-3854
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 24863
FL
Other
Enumeration date
10/07/2016
Last updated
10/11/2016
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