Individual
MR. RONALD GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
15431 PLANTATION OAKS DR, APT #9, TAMPA, FL 33647-2129
(734) 629-6674
Mailing address
15431 PLANTATION OAKS DR, APT #9, TAMPA, FL 33647-2129
(734) 629-6674
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26492
FL
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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