Individual
ASHLEY SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7749 NORMANDY BLVD, JACKSONVILLE, FL 32221-7657
(904) 786-5576
Mailing address
1655 THE GREENS WAY, #3316, JACKSONVILLE BEACH, FL 32250-2461
(336) 413-2408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28300
FL
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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