Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | PTA19211 | FL |
NPI | 1013255736 |
---|---|
Provider Name | Mrs. April Lynn Wheeler |
First Address | Lakeland, FL 33811-2442 |
Second Address | Lakeland, FL 33811-2442 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2013 |
Last Update Date | 31/01/2013 |