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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Physical Therapy Assistant · DAYTONA BEACH, FL

Registration Details

NPI Number
1013016195
Provider Type
Individual
Gender
Male
NPI Issued
Sep 22, 2006 (19.58060256454 yrs)
Last Updated
Jan 26, 2018
License
PT 11414 (FL)

Practice Information

Address
915 N NOVA RD
DAYTONA BEACH, FL, 321174121
Browse FL providers · Browse ZIP 32117
Phone
3866712626
Fax
3866712627
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in DAYTONA BEACH, FL

Name Credential NPI
MRS. VIRGINIA GAGLIONE MCFARLAND PT 1124061312
MR. DAN RUSSELL SAYGER PT 1518982107
DR. MICHEL VAN THIELEN PT, AP, OMD 1841200144
MS. CHERYL J WYNN DPT 1093811614
MRS. SARAH T THOMAS RPT 1912098054
JENNIFER A LUTZYK PT 1366535551
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.