Individual
KEVIN M HOSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 NATIONAL HEALTH CARE DR, DAYTONA BEACH, FL 32114-1494
(386) 257-6362
Mailing address
12 FOX RUN TRL, ORMOND BEACH, FL 32174-4911
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28822
FL
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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