Individual
MR. ROY EDMUND PABST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3825 COUNTRYSIDE BLVD N, PALM HARBOR, FL 34684-4928
(727) 784-2848
Mailing address
2038 SETON DR, CLEARWATER, FL 33763-4149
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20703
FL
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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