Individual
JEFFERY ALAN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10969 SE 175TH PLACE ROAD, SUMMERFIELD, FL 34491
(352) 347-8877
(352) 347-9477
Mailing address
10969 SE 175TH PLACE ROAD, SUMMERFIELD, FL 34491
(352) 347-8877
(352) 347-9477
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA18074
FL
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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