Individual
LISA MICHELLE CIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
621 TAMIAMI TRL S, VENICE, FL 34285-3237
(941) 483-7753
Mailing address
621 TAMIAMI TRL S, VENICE, FL 34285-3237
(941) 483-7753
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22731
FL
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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