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

MR. JACKSON MULATO BUDLONG, RPT

Active Sole Proprietor

MR. JACKSON MULATO BUDLONG, RPT is a Physical Therapy Assistant healthcare provider located in WINTER HAVEN, Florida. NPI 1699908285 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · WINTER HAVEN, FL

Registration Details

NPI Number
1699908285
Provider Type
Individual
Gender
Male
NPI Issued
Aug 28, 2009 (16.781813836854 yrs)
Last Updated
Aug 28, 2009
License
21372 (FL)
Sole Proprietor
Yes

Practice Information

Address
555 HEATHER GLEN DR
WINTER HAVEN, FL, 338843275
Browse FL providers · Browse ZIP 33884
Phone
8633078102
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in WINTER HAVEN, FL

Name Credential NPI
MICHAEL KEITH BISESI P.T. 1578561486
MR. TIMOTH DENCH PHYSICAL THERAPIST 1104897768
JESUS M PABON P.T. 1326014473
MRS. SUSAN MARIE KANE PT, ATC 1932137494
ANDREA CROOM PT 1659460400
CARA DEESE DPT 1649351248
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.