Individual
DESTINY MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14114 ALABAMA ST, JAY, FL 32565-1219
(448) 227-5840
Mailing address
14114 ALABAMA ST, JAY, FL 32565-1219
(448) 227-5840
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT41640
FL
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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