Most Relevant Information
Provider Data
| NPI Number: | 1003408196 |
| Provider Name: | WADDIE FREEMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA2368 |
Most Important Dates
| Enumeration Date: | 02/09/2021 |
| Last Updated: | 02/09/2021 |
Provider Practice Location
110 W REYNOLDS ST STE 101
PLANT CITY
FL
335633377
Practice Location Phone/Fax
| Phone: | 8132610130 |
| Fax: | 8132610603 |
Provider Mailing Location
110 W REYNOLDS ST STE 101
PLANT CITY
FL
335633377
Provider Mailing Phone/Fax
| Phone: | 8132610130 |
| Fax: | 8132610603 |