Individual
BRIANNA N FORSYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1954 STATE ROAD 230 E, STARKE, FL 32091-7152
(316) 390-9674
Mailing address
1954 STATE ROAD 230 E, STARKE, FL 32091-7152
(316) 390-9674
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31392
FL
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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