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Contact Information

DEBRA A FISSELL, PTA
4406 S. FLORIDA AVE, #16
LEADING EDGE
LAKELAND, FL33813
 Phone: 863-648-0099
 Fax: 863-688-1824
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for DEBRA A FISSELL · (Female)

NPI Number 1659671907
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 11/02/2010
Last updated 11/02/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PTA17274
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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