Most Relevant Information
Provider Data
NPI Number: | 1003289570 |
Provider Name: | JAYNA DINSMORE L.M.T., P.T.A |
Entity Type: | Individual |
Taxonomy Code: | 225200000X |
Specialty: | Physical Therapy Assistant |
License Number: | PTA 26011 |
Most Important Dates
Enumeration Date: | 11/05/2015 |
Last Updated: | 02/04/2016 |
Provider Practice Location
321 IMPERIAL BLVD
D38
LAKELAND
FL
33803
Practice Location Phone/Fax
Phone: | 1860930294 |
Fax: |
Provider Mailing Location
321 IMPERIAL BLVD
D38
LAKELAND
FL
338035622
Provider Mailing Phone/Fax
Phone: | 8609302948 |
Fax: |