MR. Ricky Buchholz, PTA

NPI #1689949364 in Keystone Heights, Florida

Provider Information

NPI Number: 1689949364
Entity Type: Individual
Name: MR. Ricky Buchholz, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 14, 2012
Last Updated: Mar 14, 2012

Practice Location

Address: 465 S LAWRENCE BLVD
City: Keystone Heights
State: Florida
ZIP Code: 32656-9222
Phone: (352) 473-7560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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