Individual
IRENE ANNE GOLTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1959 N HONORE AVE, SARASOTA, FL 34235-9117
(941) 379-3553
Mailing address
3600 LAKE BAYSHORE DRIVE, 303, BRADENTON, FL 34205-9038
(941) 580-1318
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2278
FL
Other
Enumeration date
01/22/2018
Last updated
06/16/2018
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