KENNETH DARYL TIBBETTS

TAMPA, FL
NPI1639786569
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  28226)
Enumeration Date2020-09-24
Last Update Date2020-09-24
Business Address
Mr. KENNETH DARYL TIBBETTS PTA
719 E ROBSON ST
TAMPA, FL 33604-4224
Phone number: 813-712-0618
Mailing Address
Mr. KENNETH DARYL TIBBETTS PTA
719 E ROBSON ST
TAMPA, FL 33604-4224
Phone number: 813-712-0618
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