Individual
JERMAINE DONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA, WCC
Contact information
Practice address
233 CARMEL DR, FORT WALTON BEACH, FL 32547-1957
(850) 864-4600
Mailing address
405 PARISH CV, MARY ESTHER, FL 32569-2134
(850) 499-5480
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31237
FL
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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