Individual
ANA PAULA VIVIRA BRUDER MOULDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2012 N DONNELLY ST, MOUNT DORA, FL 32757-2824
(352) 729-3565
(352) 729-3564
Mailing address
PO BOX 1478, MOUNT DORA, FL 32756-1478
(352) 729-3565
(352) 729-3564
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016972
FL
Other
Enumeration date
08/16/2010
Last updated
09/08/2024
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