Individual
CHELSEA ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6751 SPINNER DR, LAKE WALES, FL 33898-9277
(863) 521-1619
Mailing address
6751 SPINNER DR., LAKE WALES, FL 33898
(863) 521-1619
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
27015
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27015
PTA LICENSE
FL
Enumeration date
10/24/2016
Last updated
10/24/2016
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