Individual
MS. ANGELA MARIE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6649 W CONSTITUTION LN, HOMOSASSA, FL 34448-1652
(352) 628-4429
(352) 628-4429
Mailing address
6649 W CONSTITUTION LN, HOMOSASSA, FL 34448-1652
(352) 628-4429
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24711
FL
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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