Taiesha Shakima Lide, PTA
NPI #1114596194 in Boynton Beach, Florida
Provider Information
- NPI Number
- 1114596194
- Entity Type
- Individual
- Name
- Taiesha Shakima Lide, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jun 23, 2021
- Last Updated
- Jun 23, 2021
Practice Location
- Address
- 6609 W WOOLBRIGHT RD STE 420
- City
- Boynton Beach
- State
- Florida
- ZIP Code
- 33437-0917
- Phone
- (561) 200-4262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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