BRIAN DOUGLAS

TAMPA, FL
NPI1740988062
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA26280)
Enumeration Date2023-02-16
Last Update Date2023-02-16
Business Address
BRIAN DOUGLAS
1503 E 5TH AVE
TAMPA, FL 33605-5002
Phone number: 813-731-2181
Mailing Address
BRIAN DOUGLAS
1503 E 5TH AVE
TAMPA, FL 33605-5002
Phone number: 813-731-2181
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