Individual
BRIAN MULDROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1501 SE 24TH RD, OCALA, FL 34471-6005
(352) 629-8900
Mailing address
1605 NE 17TH AVE, OCALA, FL 34470-4674
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
21551
FL
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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