Merry Dubose, LPTA

NPI #1760880074 in Crestview, Florida

Provider Information

NPI Number: 1760880074
Entity Type: Individual
Name: Merry Dubose, LPTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Dec 18, 2014
Last Updated: Dec 18, 2014

Practice Location

Address: 5988 CREEKSIDE CIR
City: Crestview
State: Florida
ZIP Code: 32536-9359
Phone: (850) 240-3869

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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