Individual
JULIA VON MALTZAHN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
162 W ROBERTSON ST, BRANDON, FL 33511-5112
(813) 681-6100
Mailing address
2206 W AZEELE ST, TAMPA, FL 33606-1718
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22258
FL
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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