Individual
ELISABETH EZRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3248 LITHIA PINECREST RD STE 102, VALRICO, FL 33596-5682
(813) 662-1366
Mailing address
505 DUQUE RD, LUTZ, FL 33549-7602
(813) 482-3341
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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