MR. Temesgen Alem Kidane, PTA

NPI #1063093482 in Orlando, Florida

Provider Information

NPI Number: 1063093482
Entity Type: Individual
Name: MR. Temesgen Alem Kidane, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 16, 2021
Last Updated: Apr 16, 2021

Practice Location

Address: 4125 HUNTERS PARK LN STE 116
City: Orlando
State: Florida
ZIP Code: 32837-7615
Phone: (407) 855-0614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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