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Individual

MRS. MARIE EMMANUELLA EXUME LOUIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
151 E MINNEHAHA AVE, CLERMONT, FL 34711-3424
(352) 394-2188
Mailing address
1006 ADELPHI LN, ORLANDO, FL 32824-5268
(407) 480-9097

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30216
FL

Other

Enumeration date
10/09/2020
Last updated
10/09/2020
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