Individual
KYLE LAVOIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
14785 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-2496
(904) 292-1808
Mailing address
14785 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-2496
(904) 292-1808
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
26232
FL
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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