Individual
MS. LISA RUTH WOOLFENDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2501 BRAMBLEWOOD DR W, CLEARWATER, FL 33763-1218
(727) 365-7698
Mailing address
2501 BRAMBLEWOOD DR W, CLEARWATER, FL 33763-1218
(727) 365-7698
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA12544
FL
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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