Individual
ANNA DANIELLE PHILLIPS PREVATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2155 SILCOX RD, ASHFORD, AL 36312-5356
(334) 596-6632
Mailing address
2155 SILCOX RD, ASHFORD, AL 36312-5356
(334) 596-6632
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
21556
FL
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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