Individual
ALMA DE JESUS FELLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3651 W WATERS AVE, TAMPA, FL 33614-2783
(813) 932-5119
Mailing address
12069 CITRUS FALLS CIR, APT. 102, TAMPA, FL 33625-5735
(813) 892-9875
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 21052
FL
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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