Individual
MS. ELLEN ANASTASIOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10609 NW 6TH CT, PLANTATION, FL 33324-1004
(954) 475-0831
Mailing address
10609 NW 6TH CT, PLANTATION, FL 33324-1004
(954) 475-0831
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA311
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA311
LICENSE
FL
Enumeration date
03/01/2007
Last updated
07/08/2007
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