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Contact Information

BRIAN NULL, PTA
4501 WATERMAN WAY
TAVARES, FL32778
 Phone: 843-995-4529
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for BRIAN NULL · (Male)

NPI Number 1225515661
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 07/27/2018
Last updated 02/08/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PTA26087
  • FL License # RBT-23-254526
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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