Individual
KEVIN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4895 W WATERS AVE STE E, TAMPA, FL 33634-1316
(915) 932-3315
(813) 935-9835
Mailing address
9940 EDMONTON DR, LAND O LAKES, FL 34638-6051
(915) 926-6606
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31090
FL
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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