Individual
JOHANE JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2511 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-1653
(407) 931-3336
Mailing address
1231 WYNDHAM PINE DR, APOPKA, FL 32712-2344
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22154
FL
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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