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Mr. Kevin Anderson, PTA
Specialist in Tavares, Florida
NPI 1306115787

Kevin Anderson is a Specialist based in Tavares, FL. Kevin Anderson practices in Tavares, FL and has the professional credentials of PTA. The NPI Number for Kevin Anderson is 1306115787 and holds a License No. PTA 19561 (Florida).

The current practice location address for Kevin Anderson is 614 E Rosewood Ln, Tavares, FL and can be reached out via phone at 863-255-4702.

Location: 614 E Rosewood Ln, Tavares, FL, 32778-4879
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306115787
Provider Name
Kevin Anderson
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
614 E Rosewood Ln, Tavares, FL, 32778-4879
Phone Number
863-255-4702
Fax Number
Provider Enumeration Date
12/14/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
614 E Rosewood Ln
City
Tavares
State
Florida
Zip
32778-4879
Phone Number
863-255-4702
Fax Number
person
Provider Business Mailing Address Details
Address
614 E Rosewood Ln
City
Tavares
State
Florida
Zip
32778-4879
Phone Number
863-255-4702
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PTA 19561 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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