Individual
JULIA MARIE ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 862-1111
Mailing address
87 CUTTER LN, SHALIMAR, FL 32579-1392
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA33462
FL
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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