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1790409720
CLARENCE TIMOTHY HENERY
ORLANDO, FL
NPI
1790409720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 20235)
Enumeration Date
2022-10-03
Last Update Date
2022-10-03
Business Address
Mr. CLARENCE TIMOTHY HENERY PTA
250 S CHICKASAW TRL
ORLANDO, FL 32825-3503
Phone number: 407-208-1690
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Mailing Address
Mr. CLARENCE TIMOTHY HENERY PTA
250 S CHICKASAW TRL
ORLANDO, FL 32825-3503
Phone number: 407-208-1690
Copy
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