Individual
MS. JOAN B ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
197 SEGOLF CLUB AVENUE, LAKE CITY, FL 32025
(352) 328-7909
Mailing address
197 SEGOLF CLUB AVENUE, LAKE CITY, FL 32025
(352) 328-7909
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19
FL
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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