Individual
MS. JILL EUDORA ORMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, PM, LMT
Contact information
Practice address
1820 SHORE DR S, S PASADENA, FL 33707-4601
(727) 384-9300
Mailing address
1820 SHORE DR S, S PASADENA, FL 33707-4601
(727) 384-9300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19475
FL
Other
Enumeration date
06/17/2008
Last updated
02/11/2012
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