Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | PTA20055 | FL |
NPI | 1003038217 |
---|---|
Provider Name | Linda L Cere |
First Address | Dunedin, FL 34698-2512 |
Second Address | Dunedin, FL 34698-2512 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 12/08/2020 |