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Individual

ASHLEIGH KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1438 SW MAIN BLVD, LAKE CITY, FL 32025-1106
(386) 755-3164
Mailing address
1438 SW MAIN BLVD, LAKE CITY, FL 32025-1106
(386) 755-3164

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
26254
FL

Other

Enumeration date
10/11/2016
Last updated
10/11/2016
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