Individual
DIAMOND GILCRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1900 CORPORATE SQUARE BLVD, JACKSONVILLE, FL 32216-1941
(904) 899-4500
Mailing address
1961 MILLINGTON LN, JACKSONVILLE, FL 32246-1387
(904) 535-9720
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29831
FL
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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