Individual
JUSTIN BECKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
355 W 63RD ST, JACKSONVILLE, FL 32208-3916
(609) 775-3193
Mailing address
355 W 63RD ST, JACKSONVILLE, FL 32208-3916
(609) 775-3193
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012647
NY
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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