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Individual

MS. DANA LOOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2685 SW 32ND PL STE 200, OCALA, FL 34471-7864
(352) 629-0033
(352) 629-0072
Mailing address
8455 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5066
(352) 629-0033
(352) 629-0072

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21380
ZZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106898
MEDICARE ID
FL
Enumeration date
09/29/2008
Last updated
09/29/2008
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