MR. Vance Forde

NPI #1457482200 in Eustis, Florida

Provider Information

NPI Number: 1457482200
Entity Type: Individual
Name: MR. Vance Forde
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Mar 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 443 PLAZA DR
City: Eustis
State: Florida
ZIP Code: 32726-6523
Phone: (352) 589-5595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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