Individual
MICHAEL PREBICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5535 S WILLIAMSON BLVD, STE 774, PORT ORANGE, FL 32128-8311
(800) 330-7711
(866) 426-2811
Mailing address
66 1/2 POPLAR ST, KINGSTON, PA 18704-3709
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1003465
PA
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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