Provider Demographics
NPI:1003038217
Name:CERE, LINDA L (PTA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:L
Last Name:CERE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2295 CAROLYN DR
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-2512
Mailing Address - Country:US
Mailing Address - Phone:727-560-4050
Mailing Address - Fax:
Practice Address - Street 1:2295 CAROLYN DR
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-2512
Practice Address - Country:US
Practice Address - Phone:727-560-4050
Practice Address - Fax:855-232-8604
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA20055225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant