Individual
JOY ELLEN PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, RYT
Contact information
Practice address
4 ARBORVUE TRL, ORMOND BEACH, FL 32174-5168
(386) 631-1299
Mailing address
115 E GRANADA BLVD STE 1, ORMOND BEACH, FL 32176-6634
(386) 631-1299
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA56495
FL
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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