Individual
KOSHY VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
518 W FLETCHER AVE, TAMPA, FL 33612-3419
(813) 265-1600
Mailing address
518 W FLETCHER AVE, TAMPA, FL 33612-3419
(813) 265-1600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA10657
FL
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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