Individual
RAY NICK NIXON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
827 CYPRESS VILLAGE BLVD, RUSKIN, FL 33573-6838
(813) 633-0669
(813) 633-0881
Mailing address
827 CYPRESS VILLAGE BLVD, RUSKIN, FL 33573-6838
(813) 633-0669
(813) 633-0881
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23479
FL
Other
Enumeration date
11/12/2014
Last updated
02/25/2020
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