Individual
AZELIA GAIL PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
15071 SHELL POINT BLVD, FORT MYERS, FL 33908-1639
(239) 415-5432
Mailing address
1400 N PARK BLVD APT 2504, GRAPEVINE, TX 76051-3070
(954) 248-0745
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25972
FL
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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