Individual
BRAD ALAN SCAVELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11293 CHAPELGATE LN, JACKSONVILLE, FL 32223-8758
(904) 710-2823
Mailing address
11293 CHAPELGATE LN, JACKSONVILLE, FL 32223-8758
(904) 710-2823
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22561
FL
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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