Individual
IRVING HAROLD ENSOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(352) 382-1141
(352) 382-1146
Mailing address
14235 EDWINOLA WAY, ROOM 831, DADE CITY, FL 33523-3763
(352) 567-5910
(352) 567-6860
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 22458
FL
Other
Enumeration date
01/25/2011
Last updated
01/26/2011
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