Individual
MRS. DENISE A LEPAGE-MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3001 PALM COAST PKWY SE, PALM COAST, FL 32137-8209
(386) 446-6060
Mailing address
132 FLORIDA PARK DR N, PALM COAST, FL 32137-8360
(904) 460-3314
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21970
FL
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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