Most Relevant Information
Provider Data
| NPI Number: | 1003049834 |
| Provider Name: | RICHARD THOMAS KING PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT14818 |
Most Important Dates
| Enumeration Date: | 08/27/2009 |
| Last Updated: | 08/27/2009 |
Provider Practice Location
494 N HARBOR CITY BLVD
MELBOURNE
FL
329356858
Practice Location Phone/Fax
| Phone: | 3216107978 |
| Fax: | 3216107979 |
Provider Mailing Location
494 N HARBOR CITY BLVD
MELBOURNE
FL
329356858
Provider Mailing Phone/Fax
| Phone: | 3216107978 |
| Fax: | 3216107979 |