Individual
MS. PATRICIA TESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 DRURY LN, ENGLEWOOD, FL 34224-4545
(941) 474-0290
Mailing address
600 CENTER RD, VENICE, FL 34285-4805
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
19802
FL
225200000X
Physical Therapy Assistant
Primary
PTA19802
FL
Other
Enumeration date
03/05/2015
Last updated
04/06/2015
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