Individual
KATRINA MARIE AMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2140 KINGSLEY AVE STE 5, ORANGE PARK, FL 32073-5129
(904) 272-2830
Mailing address
2140 KINGSLEY AVE STE 5, ORANGE PARK, FL 32073-5129
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA32757
FL
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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