Most Relevant Information
Provider Data
| NPI Number: | 1003049636 |
| Provider Name: | ANALIZA SNOWBALL RPT |
| Entity Type: | Individual |
| Taxonomy Code: | 2251G0304X |
| Specialty: | Physical Therapist |
| License Number: | PT9972 |
Most Important Dates
| Enumeration Date: | 08/31/2009 |
| Last Updated: | 08/31/2009 |
Provider Practice Location
4240 LAKELAND HIGHLANDS ROAD
LAKELAND
FL
33813
Practice Location Phone/Fax
| Phone: | 8636075948 |
| Fax: |
Provider Mailing Location
4240 LAKELAND HIGHLANDS RD
LAKELAND
FL
338133113
Provider Mailing Phone/Fax
| Phone: | 8636075948 |
| Fax: |