Individual
MISS JILLIANNE GUISELLE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2579 BRIAR OAK CIR, SARASOTA, FL 34232-6128
(941) 371-2190
Mailing address
2579 BRIAR OAK CIR, SARASOTA, FL 34232-6128
(941) 371-2190
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22758
FL
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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