Individual
MRS. CAROL VOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
602 VONDERBURG DR, BRANDON, FL 33511-5900
(813) 653-1149
(813) 654-6644
Mailing address
602 VONDERBURG DR, BRANDON, FL 33511-5900
(813) 653-1149
(813) 654-6644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 15800
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010559600
—
FL
05
—
884018100
—
FL
Enumeration date
07/25/2006
Last updated
07/31/2014
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