Individual
JOHN EDWARD PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
15002 HUTCHISON RD, TAMPA, FL 33625-5502
(813) 960-1969
Mailing address
2321 W BEACH ST, TAMPA, FL 33607-2611
(843) 455-0888
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
32596
FL
225200000X
Physical Therapy Assistant
5043
SC
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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