IVAN SLAUGHTER

PLANT CITY, FL
NPI1497330765
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA30779)
Enumeration Date2021-03-17
Last Update Date2021-03-17
Business Address
IVAN SLAUGHTER PTA
2202 W OAK AVE
PLANT CITY, FL 33563-7222
Phone number: 813-754-3761
Mailing Address
IVAN SLAUGHTER PTA
6898 A C SKINNER PKWY UNIT 318
JACKSONVILLE, FL 32256-7929
Phone number: 904-442-3629
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