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Gene Thomas Driskill I, PTA

Physical Therapy Assistant in New Port Richey, FL. Individual provider (NPI-1).

NPI number1083175418
StatusActive
Last updated in NPPESMar 28, 2019

Details

NPI
1083175418
Entity type
Individual (NPI-1)
Name
Gene Thomas Driskill I
Credential
PTA
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 28, 2019
Last updated
Mar 28, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant24530FLYes

Practice location

5750 Illinois Ave
New Port Richey, FL 34652-2836

Phone 865-556-2317

Mailing address

5750 Illinois Ave
New Port Richey, FL 34652-2836

Phone 865-556-2317

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