Individual
CLINTON T KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3030 EXECUTIVE DRIVE, VENICE, FL 34292
(941) 485-1505
Mailing address
3030 EXECUTIVE DRIVE, VENICE, FL 34292
(941) 485-1505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT37264
FL
Other
Enumeration date
08/23/2017
Last updated
05/12/2023
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