Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 17318 | FL |
NPI | 1003187923 |
---|---|
Provider Name | Ann Flint |
First Address | Hollywood, FL 33020-6349 |
Second Address | Hollywood, FL 33020-6349 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2012 |
Last Update Date | 24/01/2012 |