Individual
LISA SPERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4602 MARIGOLD AVE, KISSIMMEE, FL 34758-4342
(863) 300-1100
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(352) 382-7214
(352) 382-7781
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA15210
FL
Other
Enumeration date
07/17/2019
Last updated
01/09/2020
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