Individual
MR. KENNETH M SNODGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8631 GUNN HWY, ODESSA, FL 33556-3209
(813) 448-7240
Mailing address
7804 JENNER AVE, NEW PORT RICHEY, FL 34655-3230
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 19205
FL
Other
Enumeration date
02/10/2009
Last updated
02/16/2009
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