Individual
LISA ZIEMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-2205
Mailing address
1025 ILLINOIS AVE, PALM HARBOR, FL 34683-4412
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 25236
FL
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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