Individual
MRS. AMANDA HENRIETTA GILDERSLEEVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10423 CENTURION PKWY N, JACKSONVILLE, FL 32256-0527
(904) 854-2093
Mailing address
8740 HAMPSHIRE GLEN DR S, JACKSONVILLE, FL 32256-9569
(904) 363-3282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 18915
FL
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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