Individual provider · Type 1 NPI

Kevin Anderson, PTA

Specialist · Tavares, FL

NPI number 1306115787 Active

Practice location

614 E Rosewood Ln
Tavares, FL 32778-4879

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPTA 19561 (FL)

Specialist: 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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About NPI 1306115787

Kevin Anderson, PTA's National Provider Identifier is 1306115787, issued on Dec 14, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tavares, FL. The record was last updated on Dec 14, 2011.