Individual
ROBERT REVELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
12823 80TH AVE, SEMINOLE, FL 33776-3626
(352) 672-1741
Mailing address
12823 80TH AVE, SEMINOLE, FL 33776-3626
(352) 672-1741
(855) 232-8604
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
29320
FL
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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