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Individual

JAELLE PAYOUTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 OAKWOOD BLVD STE 130, HOLLYWOOD, FL 33020-1937
(954) 925-3844
(954) 925-3845
Mailing address
1 OAKWOOD BLVD STE 130, HOLLYWOOD, FL 33020-1937
(954) 925-3844
(954) 925-3845

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22319
FL

Other

Enumeration date
09/20/2011
Last updated
09/20/2011
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