Individual
FAITH A WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1902 59TH ST W, BRADENTON, FL 34209-4602
(941) 761-6000
Mailing address
15312 37TH CT E, PARRISH, FL 34219-1720
(941) 447-2536
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25882
FL
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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