Individual
CARRIE DENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 CRYSTAL BOWL CIR, CASSELBERRY, FL 32707-4537
(321) 276-4098
Mailing address
1050 CRYSTAL BOWL CIR, CASSELBERRY, FL 32707-4537
(321) 276-4098
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26739
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA26739
PTA LICENCE
FL
Enumeration date
08/02/2016
Last updated
08/02/2016
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