Individual
RAYSA P DE LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2535 HUNLEY LOOP, KISSIMMEE, FL 34743-5807
(813) 394-9403
Mailing address
2535 HUNLEY LOOP, KISSIMMEE, FL 34743-5807
(813) 394-9403
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21677
FL
Other
Enumeration date
08/14/2009
Last updated
06/02/2015
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