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HOLLY LANE KNOWLES PTA

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

Registrant NPI Number: 1497090401

Individual Registrant:
 HOLLY LANE KNOWLES PTA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
371 CORAL AVE  RAMROD KEY, FL 33042-5323 US
Tel: 850-419-4191  Fax: --

Contact information for business:
371 CORAL AVE  RAMROD KEY, FL 33042-5323 US
Tel: 850-419-4191  Fax: --

Registration Information:
NPI: 1497090401
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
FLPTA 22614

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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