Individual
MILES ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
710 OAKFIELD DR, BRANDON, FL 33511-4938
(888) 699-5242
Mailing address
3677 HIGHLAND FAIRWAYS BLVD, LAKELAND, FL 33810-5763
(517) 803-3424
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
28673
FL
Other
Enumeration date
06/06/2021
Last updated
06/06/2021
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