Individual
CLAYTON MAGNUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
125 ALMA BLVD, MERRITT ISLAND, FL 32953-4345
(321) 453-0202
Mailing address
1600 GLEN HAVEN DR, MERRITT ISLAND, FL 32952-5863
(321) 474-1552
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA32525
FL
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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