Individual
MR. ELDON RICHARD KILPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
186 JERRY BROWNE RD, MYSTIC, CT 06355
(866) 338-8892
Mailing address
333 1ST STREET NORTH, SUITE 200, JACKSONVILLE BEACH, FL 32250
(904) 241-9231
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000980
CT
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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