Individual
MR. RICKY BUCHHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
465 S LAWRENCE BLVD, KEYSTONE HEIGHTS, FL 32656-9222
(352) 473-7560
(352) 473-7560
Mailing address
465 S LAWRENCE BLVD, KEYSTONE HEIGHTS, FL 32656-9222
(352) 473-7560
(352) 473-7560
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA14674
FL
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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