LYNETTE L PROVANCE
Physical Therapy at W 108 Ave, Fort Lauderdale, FL

License number
Florida 817
Issued Date
Sep 10, 1982
Effective Date
Jan 1, 1901
Expiration Date
Jan 31, 1997
Category
Health Care
Type
Physical Therapist Assistant
Address
Address
1001 N 108Th Ave, Fort Lauderdale, FL 33322

Personal information

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Name
Address
Phone
Lynette L Provance
6903 Cypress Rd, Fort Lauderdale, FL 33317