Individual
ELIZABETH CHIPILIRO MKUTUMULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
628 TIMBER BAY CIR W, OLDSMAR, FL 34677-4317
(251) 458-9025
Mailing address
628 TIMBER BAY CIR W, OLDSMAR, FL 34677-4317
(251) 458-9025
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 22238
FL
225200000X
Physical Therapy Assistant
PTA 4585
AL
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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