Individual
JUAN TITHERINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1705 17TH AVE, VERO BEACH, FL 32960-3641
(772) 562-6877
Mailing address
5709 SEAGRAPE DR, FORT PIERCE, FL 34982-3228
(772) 464-9866
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA18633
FL
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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