ZACKERY LAYNE BURKHOLDER

TAMPA, FL
NPI1720454085
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA25917)
Enumeration Date2015-08-20
Last Update Date2025-03-07
Business Address
ZACKERY LAYNE BURKHOLDER PTA
12705 RACE TRACK RD
TAMPA, FL 33626-1314
Phone number: 813-343-3960
Mailing Address
ZACKERY LAYNE BURKHOLDER PTA
11706 CROWNED SPARROW LN
TAMPA, FL 33626-2650
Phone number: 863-832-3312
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