Individual
KEVIN L IAGNEMMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2135 SW 19TH AVENUE RD STE 103, OCALA, FL 34471-7877
(352) 368-1340
(352) 237-7728
Mailing address
2230 SW 19TH AVENUE RD, OCALA, FL 34471-1391
(352) 237-4133
(352) 237-7728
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30028
FL
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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