Individual
MS. JILL DONNA DUCKSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10794 PINES BLVD STE 104, PEMBROKE PINES, FL 33026-3920
(954) 447-0296
Mailing address
7790 NW 23RD ST APT 105, PEMBROKE PINES, FL 33024-0903
(954) 292-7848
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA12535
FL
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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