Individual
MARY E ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 INTERNATIONAL PKWY, STE 260, LAKE MARY, FL 32746-5030
(800) 806-6026
Mailing address
506 E PEARL ST, GENESEO, IL 61254-1560
(815) 541-4403
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1072019
WI
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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