Individual
KELLEE MARIE OVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15002 HUTCHISON RD, TAMPA, FL 33625-5509
(813) 960-1969
Mailing address
15002 HUTCHISON RD, TAMPA, FL 33625-5502
(813) 960-1969
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23862
FL
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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