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NPI Code Detail

MEDICARE: SHERI ANNETTE FOLLIS PTA

MEDICARE: SHERI ANNETTE FOLLIS PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant25988FL

General Provider Information

NPI Number : 1275048407
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERI ANNETTE FOLLIS PTA
Provider Business Mailing Address
First Line : 255 E MAIN ST
Second Line :
City : LAKE ALFRED
State : FL
Zip : 33850-2133
Country : US
Telephone Number : 863-662-5690
Fax Number : 863-662-5756
Provider Business Practice Location Address
First Line : 255 E MAIN ST
Second Line :
City : LAKE ALFRED
State : FL
Zip : 33850-2133
Country : US
Telephone Number : 863-662-5690
Fax Number : 863-662-5756
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2017
Last Update Date : 12/11/2017

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Directions to “ SHERI ANNETTE FOLLIS PTA” Practice Location

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