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Contact Information

LORI CHILDERS, PTA
2129 W NEW HAVEN AVE
WEST MELBOURNE, FL32904
 Phone: 321-724-0060
 Fax: 321-724-6775
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for LORI CHILDERS · (Female)

NPI # 1558475327
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 08/18/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PTA20219
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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