Individual
LISA NEWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14114 ALABAMA ST, JAY, FL 32565-1219
(850) 675-8040
Mailing address
14114 ALABAMA ST, JAY, FL 32565-1219
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22722
FL
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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