CLARENCE TIMOTHY HENERY

ORLANDO, FL
NPI1790409720
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  20235)
Enumeration Date2022-10-03
Last Update Date2022-10-03
Business Address
Mr. CLARENCE TIMOTHY HENERY PTA
250 S CHICKASAW TRL
ORLANDO, FL 32825-3503
Phone number: 407-208-1690
Mailing Address
Mr. CLARENCE TIMOTHY HENERY PTA
250 S CHICKASAW TRL
ORLANDO, FL 32825-3503
Phone number: 407-208-1690