Individual
PAUL CANADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5535 S WILLIAMSON BLVD STE 774, PORT ORANGE, FL 32128-8321
(888) 265-2680
Mailing address
320 INDICA CT, BARTOW, FL 33830-4425
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2145364
TX
225200000X
Physical Therapy Assistant
A5153
MD
225200000X
Physical Therapy Assistant
Primary
PTA004325
GA
225200000X
Physical Therapy Assistant
PTA22256
FL
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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