Johanna Lea Branch, PTA Valid NPI
Individual provider · Physical Therapy Assistant · Lakeland, FL
- NPI
- 1265665897
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapy Assistant
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225200000X
- License number
- PTA18857 (FL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2009-08-31
- Last updated
- 2009-08-31
Practice location
4240 Lakeland Highlands Rd
Lakeland, FL 33813
(863) 607-5948