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MRS. ELIZABETH ANN WETZEL PTA
>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1609031020
Individual Registrant:MRS. ELIZABETH ANN WETZEL PTA
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1912 ST. RD 44 NEW SYMRNA BEACH, FL 32168-8345 US
Tel: 386-423-1070 Fax: 386-423-0780
Tel: 386-423-1070 Fax: 386-423-0780
Contact information for business:
1912 STATE ROAD 44 NEW SMYRNA BEACH, FL 32168-8345 US
Tel: 386-423-1070 Fax: --
Tel: 386-423-1070 Fax: --
Registration Information:
NPI: 1609031020
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant | FL | 20878 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
