Individual
MS. LORIE ANN MIZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6391 LAKE CHARLENE LN, PENSACOLA, FL 32506-8603
(850) 426-2999
Mailing address
6391 LAKE CHARLENE LN, PENSACOLA, FL 32506-8603
(850) 426-2999
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 20314
FL
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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