Individual
MISS MARIA ROWENA DELEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LATC, ATC, PES
Contact information
Practice address
6150 N LOCKWOOD RIDGE RD, SARASOTA, FL 34243-2527
(941) 960-4741
Mailing address
2425 BAHIA VISTA ST, SARASOTA, FL 34239-2502
(630) 299-6770
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 27473
FL
2255A2300X
Athletic Trainer
096.002224
IL
2255A2300X
Athletic Trainer
AL 4430
FL
Other
Enumeration date
02/06/2008
Last updated
05/05/2017
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