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Individual

GRETA RAINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
5901 BROKEN SOUND PKWY, STE 500, BOCA RATON, FL 33487-2773
(800) 875-8999
(561) 955-9881
Mailing address
5901 BROKEN SOUND PKWY, STE 500, BOCA RATON, FL 33487-2773
(800) 875-8999
(561) 955-9881

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
A-0435
NV
225200000X
Physical Therapy Assistant
Primary
AT-8979
CA
225200000X
Physical Therapy Assistant
PTA-0639
WY

Other

Enumeration date
11/25/2010
Last updated
11/25/2010
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