Individual
LANI WILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4165 WESTMEADOW DR APT 1175, COLORADO SPRINGS, CO 80906-6079
(239) 287-4415
Mailing address
4837 TARPON AVE, BONITA SPRINGS, FL 34134-3960
(239) 287-4415
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT28981
FL
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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