Individual
ROBERT MAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
490 S OLD WIRE RD, WILDWOOD, FL 34785-5001
(352) 748-3683
Mailing address
9118 E MOCCASIN SLOUGH RD, INVERNESS, FL 34450-6203
(352) 860-2417
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
20147
FL
Other
Enumeration date
01/19/2019
Last updated
01/19/2019
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