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Individual

JACOB COLLIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
6814 GUILFORD BRIDGE DR, APOLLO BEACH, FL 33572-1725
(813) 731-7555
Mailing address
6814 GUILFORD BRIDGE DR, APOLLO BEACH, FL 33572-1725
(813) 731-7555

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22743
FL

Other

Enumeration date
06/22/2012
Last updated
06/22/2012
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