Individual
CHERYL WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
540 KINGSLEY AVE, ORANGE PARK, FL 32073-4847
(904) 264-2156
Mailing address
10834 LYDIA ESTATES DR, JACKSONVILLE, FL 32218-6977
(904) 766-5636
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19262
FL
Other
Enumeration date
09/30/2006
Last updated
07/08/2007
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