Nicholas Ryan Hyatt, PTA

NPI #1043616287 in Leesburg, Florida

Provider Information

NPI Number
1043616287
Entity Type
Individual
Name
Nicholas Ryan Hyatt, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Nov 17, 2014
Last Updated
Nov 17, 2014

Practice Location

Address
600 W NORTH BLVD
Address 2
SUITE D
State
Florida
ZIP Code
34748-5063
Phone
(352) 728-6636

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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