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Individual

JILL MARIE BAXTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1219 DUNN AVE, DAYTONA BEACH, FL 32114-2405
(386) 255-4568
Mailing address
912 ASHMEADE CT, PORT ORANGE, FL 32127-7943

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
29658
FL

Other

Enumeration date
02/10/2020
Last updated
02/10/2020
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