Doctor Name: | ERIN TWOMBLY |
NPI Number: | 1164831970 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PTA |
License Number: | PTA25166 |
Business Practice Address: | 3248 Lithia Pinecrest Rd Ste 102 Valrico, FL - 335965682 |
Business Phone Number: | 8136621366 |
Business Fax Number: | |
Mailing Address: | 3248 Lithia Pinecrest Rd Ste 102, VALRICO |
State: | FL |
Postal Code: | 335965682 |
Phone Number: | 8136621366 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2014 |
NPI Last Update Date: | 08/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PTA25166 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |