Individual
MR. LARRY WAYNE BREEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 COLUMBIA DR, TAMPA, FL 33606-3508
(813) 844-7707
Mailing address
2 COLUMBIA DR, TAMPA, FL 33606-3508
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2065620
TX
225200000X
Physical Therapy Assistant
Primary
PTA 18170
FL
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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