Individual
MRS. KATHLEEN VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
465 S LAWRENCE BLVD, KEYSTONE HEIGHTS, FL 32656-9222
(352) 473-5760
(352) 473-7566
Mailing address
PO BOX 1099, MELROSE, FL 32666-1099
(352) 475-3113
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27972
FL
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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