Individual
PAIGE ARDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17557 CLARIDGE OVAL W, BOCA RATON, FL 33496-1336
(561) 451-4900
Mailing address
4936 PELICAN ST, COCONUT CREEK, FL 33073-2426
(954) 254-0379
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29926
FL
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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