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Individual

BOBBIE JUNE WALDROOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
350 S RIDGEWOOD AVE, ORMOND BEACH, FL 32174-7028
(986) 677-4545
Mailing address
34 LLOYD TRL, PALM COAST, FL 32164-5836
(386) 597-3854

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
21308
FL

Other

Enumeration date
06/26/2009
Last updated
06/26/2009
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