Individual
ALLIE PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 345-6920
Mailing address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 345-7310
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT36210
FL
2251P0200X
Pediatric Physical Therapist
2305213885
VA
Other
Enumeration date
11/11/2020
Last updated
07/20/2023
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