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Organization

GLOBAL HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KISSIE THOMPSON PTA (PHYSICAL THERAPIST ASSISTANT)
(407) 409-8658
Entity
Organization

Contact information

Practice address
2379 CARAVELLE CIR, KISSIMMEE, FL 34746-5807
(407) 409-8658
Mailing address
2379 CARAVELLE CIR, KISSIMMEE, FL 34746-5807
(407) 409-8658

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27413
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008899300
FL
Enumeration date
04/20/2017
Last updated
04/20/2017
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