Tyrone Andre Richardson

NPI 1285904219 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1285904219
Gender Male
Enumeration Date 01/06/2012
Last Updated 01/06/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
702 S KINGS AVE
BRANDON FL, 33511-5925, US
Phone (813) 651-1818
Fax
Business Location
4612 TUCSON CT
VALRICO FL, 33594-9315, US
Phone (813) 385-1909
Fax
Toxanomy
Taxonomy Code 225200000X
License State Florida
License Number 20774
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According to our database, Mr. Tyrone Andre Richardson NPI is 1285904219, taxonomy code is 225200000X and license number is 20774, license state is located at Florida. Tyrone Andre Richardson physically located at 702 S Kings Ave, Brandon FL, 33511-5925. NPI Number Tyrone Andre Richardson has the Individual type.

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1285904219 NPI number is provided on an as is basis without warranty of any kind. 1285904219 is maintained by the National Plan & Provider Enumeration System. The contents of Tyrone Andre Richardson are for informational purposes only.