Individual
JOSEPH EDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
146 SW ORTHOPEDIC CT, LAKE CITY, FL 32024-0672
(386) 719-5100
Mailing address
4500 W NEWBERRY RD, GAINESVILLE, FL 32607-2245
(352) 336-6000
(352) 336-6029
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26178
FL
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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