Individual
MR. KEVIN JAY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1525 HAVEN DR, OVIEDO, FL 32765-7566
(407) 706-1270
(407) 706-1271
Mailing address
1426 MOORLAND CT, LONGWOOD, FL 32750-3311
(407) 774-1610
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA18368
FL
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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