Individual
JULIE SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1200 OAKLEY SEAVER DR, CLERMONT, FL 34711-1958
(352) 241-0347
Mailing address
PO BOX 120676, CLERMONT, FL 34712-0676
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21318
FL
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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