Individual
MRS. PAULETTE RYSANEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
7227 LAND O LAKES BLVD, LAND O LAKES, FL 34638-2826
(813) 794-2000
Mailing address
7227 LAND O LAKES BLVD, LAND O LAKES, FL 34638-2826
(813) 794-2000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
000616-1
NY
225200000X
Physical Therapy Assistant
Primary
20276
FL
225200000X
Physical Therapy Assistant
QB01075
NJ
225700000X
Massage Therapist
004316-1
NY
Other
Enumeration date
02/04/2008
Last updated
08/14/2009
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