MRS. Lisa Whittaker, PTA

NPI #1386778207 in Sorrento, Florida

Provider Information

NPI Number: 1386778207
Entity Type: Individual
Name: MRS. Lisa Whittaker, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 25240 ROLLING OAK RD
City: Sorrento
State: Florida
ZIP Code: 32776-8764
Phone: (352) 383-5473

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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