Individual
DEBORAH STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
25727 NE STATE ROAD 26, MELROSE, FL 32666-6202
(352) 475-3113
Mailing address
1801 STATE ROAD 100, MELROSE, FL 32666-3145
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30087
FL
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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