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Individual

MR. RICHARD L ROSS IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.A.

Contact information

Practice address
7830 PINE FOREST RD FL 32526, PENSACOLA, FL 32526-8404
(850) 941-5000
Mailing address
4344 LANGLEY AVE STE APT H145, PENSACOLA, FL 32504-8554
(850) 454-9607

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9724
FL

Other

Enumeration date
05/12/2021
Last updated
05/12/2021
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