Individual
ALLISON PORTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
600 W NORTH BLVD STE D, LEESBURG, FL 34748-5000
(352) 787-9300
(352) 787-4522
Mailing address
600 W NORTH BLVD STE D, LEESBURG, FL 34748-5000
(352) 787-9300
(352) 787-4522
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
RPT46455
FL
225200000X
Physical Therapy Assistant
Primary
PTA29807
FL
Other
Enumeration date
11/24/2019
Last updated
11/24/2019
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