Individual
ABIGAIL ASHLEY R SHEW-A-TJON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2761 SW ENSENADA TER, PORT SAINT LUCIE, FL 34953-4153
(772) 634-4676
Mailing address
2761 SW ENSENADA TER, PORT SAINT LUCIE, FL 34953-4153
(772) 634-4676
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30342
FL
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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