Individual
MISS JOSLYN AMELIA MITCHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2802 PARENTAL HOME RD, JACKSONVILLE, FL 32216-5702
(904) 721-0088
(904) 721-6561
Mailing address
9480 PRINCETON SQUARE BLVD S, APT 2414, JACKSONVILLE, FL 32256-0302
(904) 446-5895
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
21456
FL
Other
Enumeration date
03/26/2009
Last updated
03/26/2009
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