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Individual

DEMETRIA C JUBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
2430 COUNTY ROAD 210 W STE B, ST JOHNS, FL 32259-2419
(866) 808-4133
(866) 849-2728
Mailing address
PO BOX 124, GALLMAN, MS 39077-0124
(866) 808-4133

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT33874
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1225517410
FL
Enumeration date
08/09/2018
Last updated
10/03/2024
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