Individual
CARINA GUDRUN GINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4701 FERNSTONE CT, BRANDON, FL 33511-8040
(813) 643-6940
Mailing address
4701 FERNSTONE CT, BRANDON, FL 33511-8040
(813) 643-6940
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 21231
FL
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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