Individual
JAMIE FUGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4225 EXECUTIVE SQ FL 15, LA JOLLA, CA 92037-9122
(844) 812-6758
Mailing address
2304 DELGADO DR, TALLAHASSEE, FL 32304-1302
(850) 712-6552
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
33493
FL
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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