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1720749039
JEREMY D PREWITT
ORLANDO, FL
NPI
1720749039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA28569)
Enumeration Date
2022-01-08
Last Update Date
2022-01-08
Business Address
JEREMY D PREWITT PTA
3359 MISSION BAY BLVD APT 224
ORLANDO, FL 32817-1972
Phone number: 904-735-3565
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Mailing Address
JEREMY D PREWITT PTA
3359 MISSION BAY BLVD APT 224
ORLANDO, FL 32817-1972
Phone number: 904-735-3565
Copy
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