Individual
MRS. LISA WHITTAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
25240 ROLLING OAK RD, SORRENTO, FL 32776-8764
(352) 383-5473
(352) 357-5428
Mailing address
25240 ROLLING OAK RD, SORRENTO, FL 32776-8764
(352) 383-5473
(352) 357-5428
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA937
FL
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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