Robert Revels, PTA

NPI #1063097251 in Seminole, Florida

Provider Information

NPI Number: 1063097251
Entity Type: Individual
Name: Robert Revels, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 10, 2021
Last Updated: Mar 10, 2021

Practice Location

Address: 12823 80TH AVE
City: Seminole
State: Florida
ZIP Code: 33776-3626
Phone: (352) 672-1741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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