Individual
DEBRA C REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4406 S FLORIDA AVE, SUITE 16, LAKELAND, FL 33813-2172
(863) 648-0099
(863) 709-9740
Mailing address
4406 S FLORIDA AVE, SUITE 16, LAKELAND, FL 33813-2172
(863) 648-0099
(863) 709-9740
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0005406
FL
Other
Enumeration date
09/27/2006
Last updated
04/03/2009
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