Individual
ANNE MARIE GYSELINCK MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5301 40TH AVE N, ST PETERSBURG, FL 33709-5609
(727) 366-7066
Mailing address
5301 40TH AVE N, ST PETERSBURG, FL 33709-5609
(727) 366-7066
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 118
FL
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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