Individual
MR. JAMES ROBERT DUTKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
2364 STONEBRIDGE DR, ORANGE PARK, FL 32065-5769
(904) 866-0263
Mailing address
2364 STONEBRIDGE DR, ORANGE PARK, FL 32065-5769
(904) 866-0263
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA11849
FL
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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