Individual
MISS LINDA FANNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
565 SW DALTON CIR, PORT SAINT LUCIE, FL 34953-5817
(772) 708-4600
Mailing address
565 SW DALTON CIR, PORT SAINT LUCIE, FL 34953-5817
(772) 708-4600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27416
FL
Other
Enumeration date
03/26/2017
Last updated
03/26/2017
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