Individual
KERLINE PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12159 US HIGHWAY 301 N, PARRISH, FL 34219-8678
(941) 776-5585
Mailing address
1533 ROMMEL ST, PORT CHARLOTTE, FL 33952-4743
(941) 833-1988
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30485
FL
Other
Enumeration date
09/05/2020
Last updated
09/05/2020
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