Individual
BRYANT VILLOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4600 4TH ST N, ST PETERSBURG, FL 33703-3802
(727) 527-5272
Mailing address
4600 4TH ST N, ST PETERSBURG, FL 33703-3802
(727) 527-5272
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT35160
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT35160
LICENSE
FL
Enumeration date
11/05/2019
Last updated
01/09/2023
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