Individual
MRS. GINA VELASCO LEFFERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
518 W FLETCHER AVE, TAMPA, FL 33612-3419
(813) 265-1600
Mailing address
3541 BENERAID ST, LAND O LAKES, FL 34638-7917
(813) 475-4731
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 22213
FL
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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