Provider Demographics
NPI:1760745798
Name:BRIGHT, ANDREW CHRISTOPHER (PTA)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:CHRISTOPHER
Last Name:BRIGHT
Suffix:
Gender:M
Credentials:PTA
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:13312 CANOPY GROVE DR UNIT 12-203
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33625-4156
Mailing Address - Country:US
Mailing Address - Phone:302-559-6018
Mailing Address - Fax:
Practice Address - Street 1:13312 CANOPY GROVE DR UNIT 12-203
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625-4156
Practice Address - Country:US
Practice Address - Phone:302-559-6018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-25
Last Update Date:2021-01-22
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant