Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | PTA22440 | FL |
NPI | 1003187360 |
---|---|
Provider Name | Lauren Rumping |
First Address | Saint Cloud, FL 34771-7942 |
Second Address | Kissimmee, FL 34741-1653 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2012 |
Last Update Date | 15/02/2016 |