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1790354710
KEVIN BROOKS
TAMPA, FL
NPI
1790354710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA31090)
Enumeration Date
2021-06-23
Last Update Date
2021-06-23
Business Address
KEVIN BROOKS PTA
4895 W WATERS AVE STE E
TAMPA, FL 33634-1316
Phone number: 915-932-3315
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Mailing Address
KEVIN BROOKS PTA
9940 EDMONTON DR
LAND O LAKES, FL 34638-6051
Phone number: 915-926-6606
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