Brian Muldrow PTA

NPI 1255675724 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1255675724
Gender Male
Enumeration Date 11/21/2012
Last Updated 11/21/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1501 SE 24TH RD
OCALA FL, 34471-6005, US
Phone (352) 629-8900
Fax
Business Location
1605 NE 17TH AVE
OCALA FL, 34470-4674, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Florida
License Number 21551
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According to our database, Brian Muldrow PTA NPI is 1255675724, taxonomy code is 225200000X and license number is 21551, license state is located at Florida. Brian Muldrow PTA physically located at 1501 Se 24th Rd, Ocala FL, 34471-6005. NPI Number Brian Muldrow PTA has the Individual type.

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1255675724 NPI number is provided on an as is basis without warranty of any kind. 1255675724 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Muldrow PTA are for informational purposes only.