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Individual

JOSEA SHARLENE WELLINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
925 WILLIE MAYS PKWY, ORLANDO, FL 32811-4558
(407) 235-8210
Mailing address
925 WILLIE MAYS PKWY, ORLANDO, FL 32811-4558
(407) 235-8210

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 22778
FL

Other

Enumeration date
11/29/2011
Last updated
11/29/2011
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