Individual
JERRY DEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
810 INNERGARY PL, VALRICO, FL 33594-4167
(863) 327-7170
Mailing address
810 INNERGARY PL, VALRICO, FL 33594-4167
(863) 327-7170
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 27145
FL
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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