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Individual

PAMELA L WHITESIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
950 MOODY RD APT 109, N FT MYERS, FL 33903-4702
(239) 322-8133
Mailing address
950 MOODY RD APT 109, N FT MYERS, FL 33903-4702
(239) 322-8133

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26246
FL

Other

Enumeration date
08/11/2026
Last updated
08/11/2026
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