Katina Woodbury, PTA
Physical Therapy Assistant in Summerfield, FL. Individual provider (NPI-1).
NPI number1972196665
StatusActive
Last updated in NPPESFeb 15, 2021
Details
- NPI
- 1972196665
- Entity type
- Individual (NPI-1)
- Name
- Katina Woodbury
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2021
- Certification date
- Feb 15, 2021
- Last updated
- Feb 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PTA30790 | FL | Yes |
Practice location
10969 Se 175th PlSummerfield, FL 34491-0902
Phone 352-347-8877 · Fax 352-347-9477
Mailing address
8477 S Suncoast BlvdHomosassa, FL 34446-5028
Phone 352-382-7214 · Fax 352-382-7781
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Other Physical Therapy Assistant providers in Summerfield, FL
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All 9 Physical Therapy Assistant providers in Summerfield · All 321 providers in Summerfield
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