Individual
MR. JOSHUA BIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
4820 W NEWBERRY RD, GAINESVILLE, FL 32607-2249
(352) 373-2116
Mailing address
4820 W NEWBERRY RD, GAINESVILLE, FL 32607-2249
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 24787
FL
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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