Individual
NICHOLAS RAY TWITTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2123 ROYAL POINCIANA BLVD, MELBOURNE, FL 32935-3396
(850) 226-3820
Mailing address
2123 ROYAL POINCIANA BLVD, MELBOURNE, FL 32935-3396
(850) 226-3820
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28186
FL
Other
Enumeration date
01/18/2018
Last updated
06/16/2018
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