Ivan Broaderick Gresham is a Physical Therapy Assistant based in Callahan, FL. Ivan Broaderick Gresham practices in Callahan, FL. The NPI Number for Ivan Broaderick Gresham is 1457789653 and holds a License No. PTA24242 (Florida).
The current practice location address for Ivan Broaderick Gresham is 45390 Green Ave, Callahan, FL and can be reached out via phone at 904-879-1223.
Identifier | Type | State | Issuer |
---|---|---|---|
PTA24242 | 01 | FL | STATE LICENSE # |
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