Individual
MRS. JOANN CAROL HORIANOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7388 121ST WAY NORTH, SEMINOLE, FL 33772
(727) 954-7060
Mailing address
7388 121ST WAY NORTH, SEMINOLE, FL 33772
(727) 954-7060
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 18635
FL
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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