Individual
MIKE HUTCHINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
823 SAGAMORE ST, LAKELAND, FL 33803-4138
(863) 838-4331
Mailing address
823 SAGAMORE ST, LAKELAND, FL 33803-4138
(863) 838-4331
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
16678
FL
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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