Individual
JEREMY D PREWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3359 MISSION BAY BLVD APT 224, ORLANDO, FL 32817-1972
(904) 735-3565
Mailing address
3359 MISSION BAY BLVD APT 224, ORLANDO, FL 32817-1972
(904) 735-3565
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28569
FL
Other
Enumeration date
01/08/2022
Last updated
01/08/2022
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