Vincent Ford

NPI 1063771947 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1063771947
Gender Male
Enumeration Date 05/11/2012
Last Updated 05/11/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
3479 22ND AVENUE
ST.PETERSBURG FL, 33711, US
Phone (727) 504-5821
Fax
Business Location
3479 22ND AVE S
ST PETERSBURG FL, 33711-3216, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Florida
License Number PTA21962
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According to our database, Vincent Ford NPI is 1063771947, taxonomy code is 225200000X and license number is PTA21962, license state is located at Florida. Vincent Ford physically located at 3479 22nd Avenue, St.petersburg FL, 33711. NPI Number Vincent Ford has the Individual type.

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1063771947 NPI number is provided on an as is basis without warranty of any kind. 1063771947 is maintained by the National Plan & Provider Enumeration System. The contents of Vincent Ford are for informational purposes only.