Individual
JILL LISA DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPTA
Contact information
Practice address
255 59TH ST N, ST PETERSBURG, FL 33710-8539
(727) 345-2775
Mailing address
13903 BREWSTER DR, LARGO, FL 33774-4526
(727) 517-9299
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 1356
FL
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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