Individual
LYNNE M DESIMONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1902 59TH ST W, BRADENTON, FL 34209-4602
(941) 761-1000
Mailing address
1902 59TH ST W, BRADENTON, FL 34209-4602
(941) 761-1000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25453
FL
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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