Individual
AUDRA KLOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
300 LAKE AVE NE, LARGO, FL 33771-6605
(727) 437-1600
Mailing address
1963 GEORGIA CIR N, CLEARWATER, FL 33760-1724
(727) 373-9780
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21422
FL
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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