Individual
AGNITA LOUISE SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4730 BEE RIDGE RD, SARASOTA, FL 34233-1442
(941) 377-1286
Mailing address
4730 BEE RIDGE RD, SARASOTA, FL 34233-1442
(941) 377-1286
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19809
FL
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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