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SHARON KIMBERLEY KELTON DURRANCE

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

Registrant NPI Number: 1265059539

Individual Registrant:
 SHARON KIMBERLEY KELTON DURRANCE 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
12029 COUNTY ROAD 103  OXFORD, FL 34484-2938 US
Tel: 352-571-5979  Fax: --

Contact information for business:
311 WOODS LANDING DR  LADY LAKE, FL 32159-4307 US
Tel: 352-484-8251  Fax: --

Registration Information:
NPI: 1265059539
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
FLPTA23146

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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