Individual
JESSICA MERRILEES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A
Contact information
Practice address
554 KINGSLEY AVE, ORANGE PARK, FL 32073-4830
(904) 264-0792
(904) 264-0970
Mailing address
1295 FLOYD ST, GREEN COVE SPRINGS, FL 32043-8720
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21181
FL
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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