Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | PTA19505 | FL |
NPI | 1003041195 |
---|---|
Provider Name | Mrs. Laurie Michelle Bell |
First Address | Naples, FL 34103-3206 |
Second Address | Naples, FL 34109-0495 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2009 |
Last Update Date | 19/05/2009 |