Individual
JESSICA ROSENBLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 SHORE DR S, SOUTH PASADENA, FL 33707-4601
(727) 851-9805
Mailing address
1820 SHORE DR S, SOUTH PASADENA, FL 33707-4601
(727) 851-9805
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 22064
FL
Other
Enumeration date
09/11/2009
Last updated
06/10/2016
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