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Contact Information

LESLIE T SHUTACK, LPTA
6658 NW 4TH AVE
OCALA, FL34475
 Phone: 352-342-1679
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for LESLIE T SHUTACK · (Female)

NPI # 1083835128
Status Active
Credentials LPTA
Entity Individual
Enumeration date 05/02/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PTA19384
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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