Ivan Slaughter, PTA
NPI #1497330765 in Plant City, Florida
Provider Information
- NPI Number
- 1497330765
- Entity Type
- Individual
- Name
- Ivan Slaughter, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Mar 17, 2021
- Last Updated
- Mar 17, 2021
Practice Location
- Address
- 2202 W OAK AVE
- City
- Plant City
- State
- Florida
- ZIP Code
- 33563-7222
- Phone
- (813) 754-3761
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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