Individual
MR. CHRISTOPHER LEE EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4964 FRUITVILLE RD, SARASOTA, FL 34232-2261
(941) 341-9480
(941) 341-9490
Mailing address
3376 RAMBLEWOOD PL, SARASOTA, FL 34237-3836
(941) 365-5399
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
20573
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20573
PTA LISCENSURE
FL
Enumeration date
09/16/2006
Last updated
07/08/2007
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