Individual
ASHLEY TAYLOR COURSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6817 SOUTHPOINT PKWY STE 1602, JACKSONVILLE, FL 32216-6298
(904) 945-7556
Mailing address
3811 MILLPOINT DR, JACKSONVILLE, FL 32257-8933
(321) 277-1915
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30012
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA30012
FL-DOH
FL
Enumeration date
08/30/2021
Last updated
08/30/2021
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