LARRY WAYNE BREEDEN

TAMPA, FL
NPI1508022989
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA 18170)
Additional Taxonomies225200000X Physical Therapy Assistant
(Licence: TX  2065620)
Enumeration Date2008-08-05
Last Update Date2008-08-05
Business Address
Mr. LARRY WAYNE BREEDEN
2 COLUMBIA DR
TAMPA, FL 33606-3508
Phone number: 813-844-7707
Mailing Address
Mr. LARRY WAYNE BREEDEN
2 COLUMBIA DR
TAMPA, FL 33606-3508
Phone number: