Individual
LISA K KITTREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8455 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5066
(352) 382-0939
(352) 382-4297
Mailing address
8455 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5066
(352) 382-0939
(352) 382-4297
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19895
FL
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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