ANDREW THARALDSON

TAMPA, FL
NPI1699286492
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA27736)
Enumeration Date2017-10-19
Last Update Date2017-10-19
Business Address
ANDREW THARALDSON PTA
6117 GUNN HWY
TAMPA, FL 33625-4013
Phone number: 813-978-9700
Mailing Address
ANDREW THARALDSON PTA
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637-0925
Phone number: 813-978-9700