TYREE L REVANGE

TALLAHASSEE, FL
NPI1649670472
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT29648)
Enumeration Date2014-08-29
Last Update Date2014-08-29
Business Address
-- TYREE L REVANGE
2410 W PLAZA DR
TALLAHASSEE, FL 32308-5325
Phone number: 850-285-6185
Mailing Address
-- TYREE L REVANGE
1453 FISHER LN
TALLAHASSEE, FL 32301-4901
Phone number: 941-201-2316
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