Provider Demographics
NPI:1417385386
Name:RATTERREE, WILLIAM EARL JR (PTA)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:EARL
Last Name:RATTERREE
Suffix:JR
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13641 TEMPLE ST
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33875-9482
Mailing Address - Country:US
Mailing Address - Phone:863-253-9697
Mailing Address - Fax:
Practice Address - Street 1:346 E ROYAL PALM ST
Practice Address - Street 2:
Practice Address - City:LAKE PLACID
Practice Address - State:FL
Practice Address - Zip Code:33852-5055
Practice Address - Country:US
Practice Address - Phone:863-465-9500
Practice Address - Fax:863-465-9542
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-30
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA 24409225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant