Individual
BIANCA MCCRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11401 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-1402
(904) 260-1818
Mailing address
11701 PALM LAKE DR APT 612, JACKSONVILLE, FL 32218-0909
(904) 415-1556
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25187
FL
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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