Individual
DEBRA KOMINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 MARINERS DR, ORMOND BEACH, FL 32176-2343
(386) 299-2386
Mailing address
124 MARINERS DR, ORMOND BEACH, FL 32176-2343
(386) 299-2386
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23510
FL
Other
Enumeration date
08/16/2016
Last updated
09/05/2023
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