Individual
JESSICA SARRALEE IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 MARSHALL DR, PERRY, FL 32347-1835
(850) 584-6334
Mailing address
1891 NW 167TH PL, TRENTON, FL 32693-8246
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30088
FL
Other
Enumeration date
04/02/2020
Last updated
04/13/2020
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