Individual
MRS. CARISSA AHLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10570 136TH ST, LARGO, FL 33774-5431
(727) 804-9659
(727) 517-2123
Mailing address
10570 136TH ST, LARGO, FL 33774-5431
(727) 804-9659
(727) 517-2123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT16609
FL
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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