Individual
KRISTINA DARLENE QUEIROZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1507 S TUTTLE AVE, SARASOTA, FL 34239-2608
(941) 366-0336
Mailing address
1507 S TUTTLE AVE, SARASOTA, FL 34239-2608
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
23166
FL
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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