Individual
KAITLYN PETRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
15204 W COLONIAL DR, WINTER GARDEN, FL 34787
(407) 877-2394
Mailing address
PO BOX 6197, CHINA VILLAGE, ME 04926-0197
(207) 877-5283
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22834
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22834
—
FL
Enumeration date
04/16/2012
Last updated
04/16/2012
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