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LISA SOFIA SONNTAG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2685 SW 32ND PL, SUITE 200, OCALA, FL 34471-7862
(352) 629-0033
(352) 629-0072
Mailing address
2685 SW 32ND PLACE, SUITE 200, OCALA, FL 34471
(352) 629-0033
(352) 629-0072

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA18396
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTA18396
FLORIDA STATE LICENSE
FL
Enumeration date
09/17/2009
Last updated
09/17/2009
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