Individual
KASSARA LYNN LOZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
500 HOSPITAL DR, CRESTVIEW, FL 32539-7355
(850) 689-3146
Mailing address
5925 INDEPENDENCE DR, MILTON, FL 32570-3585
(850) 490-2046
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
31437
FL
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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