Individual
MRS. TRACI SUZANNE CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2250 HICKORY RD, 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
(610) 834-7525
Mailing address
1230 S MISSOURI AVE, 703, CLEARWATER, FL 33756-9174
(727) 215-7197
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 20600
FL
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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