Gary Shelton PTA

NPI 1346439049 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1346439049
Gender Male
Enumeration Date 10/18/2007
Last Updated 10/18/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
606 E SHERIDAN RD
MELBOURNE FL, 32901-3227, US
Phone (321) 727-0984
Fax
Business Location
436 FRANKLIN ST
PADUCAH KY, 42003-0435, US
Phone (270) 556-3842
Fax
Toxanomy
Taxonomy Code 225200000X
License State Florida
License Number 13961
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According to our database, Gary Shelton PTA NPI is 1346439049, taxonomy code is 225200000X and license number is 13961, license state is located at Florida. Gary Shelton PTA physically located at 606 E Sheridan Rd, Melbourne FL, 32901-3227. NPI Number Gary Shelton PTA has the Individual type.

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1346439049 NPI number is provided on an as is basis without warranty of any kind. 1346439049 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Shelton PTA are for informational purposes only.