John Henry PT

NPI 1356405534 - Physical Therapist - 225100000X

NPI Details
NPI 1356405534
Gender Male
Enumeration Date 12/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3820 NORTHDALE BLVD
SUITE 101A
TAMPA FL, 33624-1863, US
Phone (813) 264-7734
Fax
Business Location
1100 SE MITCHELL AVE
#904
PORT ST LUCIE FL, 34952-5960, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number 30145
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According to our database, Mr. John Henry PT NPI is 1356405534, taxonomy code is 225100000X and license number is 30145, license state is located at California. John Henry PT physically located at 3820 Northdale Blvd, Tampa FL, 33624-1863. NPI Number John Henry PT has the Individual type.

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1356405534 NPI number is provided on an as is basis without warranty of any kind. 1356405534 is maintained by the National Plan & Provider Enumeration System. The contents of John Henry PT are for informational purposes only.