Individual
JANELLE VALIN ONTOG-GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1531 TAMIAMI TRL S STE 702B, VENICE, FL 34285-5569
(941) 266-3978
Mailing address
426 AVELLA STREET, PORT CHARLOTTE, FL 33954
(757) 232-1696
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20678
FL
Other
Enumeration date
03/20/2007
Last updated
10/11/2013
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