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EDWARD BARRY PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1104947423

Individual Registrant:
 EDWARD  BARRY PTA
Gender: M
Not Sole Proprietor

Location and contact information for practice:
10341 SE US HIGHWAY 441  BELLEVIEW, FL 34420-2807 US
Tel: 352-307-0066  Fax: 352-307-9556

Contact information for business:
10341 SE US HIGHWAY 441  BELLEVIEW, FL 34420-2807 US
Tel: 352-307-0066  Fax: 352-307-9556

Registration Information:
NPI: 1104947423
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
FLPTA 12511

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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