JARED ADAM DICKS

HOMOSASSA, FL
NPI1356780019
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA22861)
Enumeration Date2013-06-17
Last Update Date2013-06-17
Business Address
-- JARED ADAM DICKS
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 352-382-1141
Mailing Address
-- JARED ADAM DICKS
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 352-382-1141
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