Doctor Name: | MRS. ANALIZA SNOWBALL |
NPI Number: | 1003049636 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPT |
License Number: | PT9972 |
Business Practice Address: | 4240 Lakeland Highlands Road Lakeland, FL - 33813 |
Business Phone Number: | 8636075948 |
Business Fax Number: | |
Mailing Address: | 4240 Lakeland Highlands Rd, LAKELAND |
State: | FL |
Postal Code: | 338133113 |
Phone Number: | 8636075948 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2009 |
NPI Last Update Date: | 08/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | PT9972 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |