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Search › Florida › Physical Therapy Assistant

Ivan Gresham

NPI 1457789653 · on the registry since 2013

Practice

Address
45390 Green Ave
Callahan, FL 32011
Phone
(904) 879-1223
Organisation at this address
Nassau Physical Therapy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida