Individual
MS. KATHERINE L. ALTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 CYPRESS GREEN DR, JACKSONVILLE, FL 32256-7791
(904) 732-4343
(904) 732-4344
Mailing address
257 BROOKCHASE LN W, JACKSONVILLE, FL 32225-6214
(904) 613-2602
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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