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MR. KANJIRATHUMMOOTTIL KURUVILLA ABRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
6330 FORT KING RD, ZEPHYRHILLS, FL 33542-2531
(813) 782-3959
(813) 780-2569
Mailing address
2002 DUMONT DR, VALRICO, FL 33594-7192
(813) 782-3959
(813) 780-2569

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0690
FL

Other

Enumeration date
04/23/2007
Last updated
07/08/2007
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