Individual
MRS. MARY ANN JULIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14030 CITRUS WAY, BROOKSVILLE, FL 34601-8423
(352) 650-6835
(352) 799-6039
Mailing address
14030 CITRUS WAY, BROOKSVILLE, FL 34601-8423
(352) 650-6835
(352) 799-6039
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19482
FL
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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