Individual
MRS. HEATHER GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2588 FOREST PKWY S, LARGO, FL 33771-1458
(727) 688-0757
Mailing address
2588 FOREST PKWY S, LARGO, FL 33771-1458
(727) 688-0757
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22736
FL
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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