Individual
MOLLY HULDER BERNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4600 4TH ST N, ST PETERSBURG, FL 33703-3802
(727) 527-5272
(727) 522-7412
Mailing address
4600 4TH ST N, ST PETERSBURG, FL 33703-3802
(727) 527-5272
(727) 522-7412
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23287
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA23287
LICENSE
FL
Enumeration date
03/06/2013
Last updated
03/06/2013
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