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Individual

MR. JAMES THOMAS MINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1902 59TH ST W, BRADENTON, FL 34209-4602
(941) 761-1000
Mailing address
2311 CLARK AVE, BRADENTON, FL 34207-4452
(941) 404-0388

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31678
FL

Other

Enumeration date
03/01/2022
Last updated
03/01/2022
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