Individual
LAINEY ELIZABETH ULRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
21281 GRAYTON TER, PORT CHARLOTTE, FL 33954-3109
(941) 613-0919
Mailing address
12985 SW DAVID DR, LAKE SUZY, FL 34269-3754
(419) 327-0678
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA34435
FL
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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