Individual
MS. IVEY JEAN PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4796 HODGES BLVD, UNIT 101, JACKSONVILLE, FL 32224
(904) 449-7246
(904) 719-7571
Mailing address
6109 KINGSLEY LAKE DR, STARKE, FL 32091-9730
(386) 288-4131
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25442
FL
Other
Enumeration date
11/13/2015
Last updated
02/13/2019
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