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Individual

CHRISTINE CLARE CONDIT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
195 MATTIE KELLY BLVD, DESTIN, FL 32541-2811
(850) 654-4588
Mailing address
403 ROSCOMMON BLVD, NICEVILLE, FL 32578-4908
(850) 687-9098

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21183
FL

Other

Enumeration date
09/16/2021
Last updated
09/16/2021
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