Individual
JOANNA NELL SIMONTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
600 N BLVD WEST, LEESBURG, FL 34748-5063
(352) 787-9300
Mailing address
13897 CR 209, OXFORD, FL 34484
(352) 748-5866
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 13547
FL
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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