Individual
MRS. LATANYA ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 N.HWY 27, SUITE F, CLERMONT, FL 34711
(352) 432-3910
(352) 432-3911
Mailing address
301 N.HWY 27 STE.F, CLERMONT, FL 34711
(352) 432-3910
(352) 432-3911
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 12586
FL
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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