PATRICK BROCK FRIAR

LAKE CITY, FL
NPI1669900247
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA25610)
Enumeration Date2017-05-26
Last Update Date2017-05-26
Business Address
PATRICK BROCK FRIAR
587 SE ERMINE AVE
LAKE CITY, FL 32025-6126
Phone number: 386-438-2776
Mailing Address
PATRICK BROCK FRIAR
587 SE ERMINE AVE
LAKE CITY, FL 32025-6126
Phone number: