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Individual

MARIAH TRUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7723 JASPER AVE, JACKSONVILLE, FL 32211-7719
(904) 725-8044
Mailing address
96162 HIGH POINTE DR, FERNANDINA BEACH, FL 32034-6902
(910) 386-1719

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30728
FL

Other

Enumeration date
03/17/2021
Last updated
03/18/2021
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