Individual
ANDREA LOUISE MIXER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
880 A1A N, STE 18A, PONTE VEDRA BEACH, FL 32082-3220
(904) 285-2910
(904) 285-4663
Mailing address
PO BOX 48116, JACKSONVILLE, FL 32247-8116
(904) 725-1657
(904) 725-7247
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA18936
FL
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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