Individual
MS. AMY LENORE DELCOLLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8254 118TH AVE, SUITE 100, LARGO, FL 33773-5017
(727) 541-5304
(727) 546-8527
Mailing address
5209 LAWNWOOD DR, TEMPLE TERRACE, FL 33617-4033
(813) 695-3844
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21281
FL
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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