Individual
MR. DARREN VINCENT FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
255 59TH ST N, ST PETERSBURG, FL 33710-8539
(727) 345-2775
Mailing address
255 59TH ST N, ST PETERSBURG, FL 33710-8539
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23928
FL
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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