Individual
MATTHEW BILLUPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1575 N TATE AVE, BARTOW, FL 33830-3160
(863) 904-7600
Mailing address
1575 N TATE AVE, BARTOW, FL 33830-3160
(863) 904-7600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25908
FL
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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