Individual
BRIANNA VALLANDINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6000 TURKEY LAKE RD STE 114, ORLANDO, FL 32819-4205
(321) 732-3723
Mailing address
409 SAINT ANNS DR, WINTER HAVEN, FL 33884-3564
(863) 944-1979
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
PTA32163
FL
225200000X
Physical Therapy Assistant
Primary
PTA32163
FL
Other
Enumeration date
08/31/2022
Last updated
09/02/2022
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