Individual
DYLAN THOMAS PROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(570) 439-6580
Mailing address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(570) 439-6580
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT39259
FL
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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