Dustin Ely Valid NPI

Individual provider · Physical Therapy Assistant · Lakeland, FL

NPI

1871907808

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

PTA22832 (FL)

Sex

Male

Sole proprietor

No

Enumerated

2014-06-18

Last updated

2014-06-18