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BLANCA L IRIZARRY PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1063674836

Individual Registrant:
 BLANCA L IRIZARRY PTA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
150 MIDDLE ST  LAKE MARY, FL 32746-3408 US
Tel: 877-832-2955  Fax: --

Contact information for business:
2222 SULLIVAN TRL  EASTON, PA 18040-7958 US
Tel: --  Fax: --

Registration Information:
NPI: 1063674836
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
FLPTA19994

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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