Individual
MR. PAUL GARY PATENAUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA 11424 (FL)
Contact information
Practice address
9393 PARK BLVD, SEMINOLE, FL 33777-4140
(727) 575-7955
(727) 575-7956
Mailing address
9393 PARK BLVD, SEMINOLE, FL 33777-4140
(727) 575-7955
(727) 575-7956
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 11424
FL
Other
Enumeration date
03/19/2007
Last updated
03/28/2016
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