Individual
JESSE SWEATT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1275 W GRANADA BLVD STE 4B2, ORMOND BEACH, FL 32174-8259
(386) 615-1112
Mailing address
1275 W GRANADA BLVD STE 4B2, ORMOND BEACH, FL 32174-8259
(386) 615-1112
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25435
FL
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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