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Individual

EMILY O EASTBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
960 LEARNING WAY, TALLAHASSEE, FL 32306-2173
(850) 644-7133
(850) 644-4251
Mailing address
1187 SANDLER RIDGE RD, TALLAHASSEE, FL 32317-9432
(561) 339-1297
(850) 644-4251

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT32006
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT32006
STATE PHYSICAL THERAPY LICENSE
FL
Enumeration date
10/12/2016
Last updated
12/09/2022
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