Individual
GINA PAOLA TAPIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
527 NW CASHMERE BLVD, UNIT 103 THE PALMS @ ST LUCIE WEST, PORT SAINT LUCIE, FL 34968
(772) 204-9822
(772) 336-9932
Mailing address
3474 SW MARTIN ST, PORT SAINT LUCIE, FL 34953-4909
(772) 785-9866
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20845
FL
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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