Provider Demographics
NPI:1568639367
Name:CURLEY, DENNIS RICHARD (PTA)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:RICHARD
Last Name:CURLEY
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 MORTON PLANT ST STE 301
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-3395
Mailing Address - Country:US
Mailing Address - Phone:727-461-6026
Mailing Address - Fax:727-298-5205
Practice Address - Street 1:430 MORTON PLANT ST STE 206
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3396
Practice Address - Country:US
Practice Address - Phone:727-461-6026
Practice Address - Fax:727-298-5205
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA 21078225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant