Individual
PETRA VIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
8400 VAMO RD, SARASOTA, FL 34231-7811
(941) 966-5611
Mailing address
11675 MONUMENT DR UNIT 3201, BRADENTON, FL 34211-1307
(251) 391-0738
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
30552
FL
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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