Individual
ANTHONY JOSEPH BUKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
718 22ND AVE S, ST PETERSBURG, FL 33705-3004
(727) 894-5125
Mailing address
703 JACARANDA DR, OLDSMAR, FL 34677-4545
(813) 854-5141
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30321
FL
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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