Selders, Gina Gray

Selders, Gina Gray is an individual health care provider with primary practice located at 5433 W State Road 46 , Sanford FL 32771-9236. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Selders, Gina Gray can be contacted via phone (407) 324-7204.

Contact Information

Primary practice address
5433 W State Road 46 Sanford FL 32771-9236
Phone: (407) 324-7204
Fax: (407) 324-7204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA12587 Florida

Profile Details

NPI number 1689793606
LBN Legal business name Selders, Gina Gray
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689793606 NPPES
Florida Other PTA12587 PHYSICAL THERAPIST ASSIST

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