Individual
CLINT JESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6775 40TH AVE N, SAINT PETERSBURG, FL 33709-4939
(727) 803-1102
Mailing address
780 116TH AVE, TREASURE ISLAND, FL 33706-1024
(813) 495-5852
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTT33667
FL
Other
Enumeration date
07/02/2018
Last updated
03/25/2019
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