Individual
JOHANNA LEA BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4240 LAKELAND HIGHLANDS RD, LAKELAND, FL 33813
(863) 607-5948
Mailing address
5503 ORANGE VALLEY COURT, LAKELAND, FL 33813
(863) 644-1707
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA18857
FL
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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