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NPI Code Detail

MEDICARE: MRS. APRIL LYNN WHEELER PTA

MEDICARE: MRS. APRIL LYNN WHEELER 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 AssistantPTA19211FL

General Provider Information

NPI Number : 1013255736
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. APRIL LYNN WHEELER PTA
Provider Business Mailing Address
First Line : 1032 CARLTON ARMS DR
Second Line :
City : LAKELAND
State : FL
Zip : 33811-2442
Country : US
Telephone Number : 863-944-8710
Fax Number : 863-607-4181
Provider Business Practice Location Address
First Line : 1032 CARLTON ARMS DR
Second Line :
City : LAKELAND
State : FL
Zip : 33811-2442
Country : US
Telephone Number : 863-944-8710
Fax Number : 863-607-4181
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2013
Last Update Date : 01/31/2013

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