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Individual

RICHARD JEREMY ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
5165 FOXBRIDGE CIR N APT 14, CLEARWATER, FL 33760-3236
(727) 608-0903
Mailing address
5165 FOXBRIDGE CIR N APT 14, CLEARWATER, FL 33760-3236
(727) 608-0903

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28645
FL

Other

Enumeration date
04/08/2019
Last updated
04/08/2019
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