Individual
LARA HOOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5535 PARK ST N, ST PETERSBURG, FL 33709-6309
(727) 209-0579
Mailing address
10416 HETRICK CIR W, LARGO, FL 33774-5217
(727) 460-1440
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
20776
FL
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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