Individual
MAKYLA DANNIELL HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10800 TEMPLE TER, SEMINOLE, FL 33772-4736
(727) 547-3315
Mailing address
11114 101ST AVE, SEMINOLE, FL 33772-2409
(319) 651-5295
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
30629
FL
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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