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: |