Individual
KEVIN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
600 W NORTH BLVD, SUITE D, LEESBURG, FL 34748-5063
(352) 787-9300
Mailing address
5409 NE 105TH GRV, OXFORD, FL 34484-3703
(352) 286-4371
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
19926
FL
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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