Individual
MS. MYLYN SHELVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 32214-5000
(904) 542-7375
Mailing address
3086 WHITE HERON TRL, ORANGE PARK, FL 32073-1643
(904) 624-2138
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20400
FL
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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