Individual
NASTASSIA DEANDRA RANKINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 6TH ST SE STE B, WINTER HAVEN, FL 33880-4605
(863) 294-0350
(863) 294-0381
Mailing address
1601 6TH ST SE STE B, WINTER HAVEN, FL 33880-4605
(863) 294-0350
(863) 294-0381
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26109
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PTA26109
—
FL
Enumeration date
03/05/2018
Last updated
03/05/2018
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