Individual
CHRISTEN BICKERSTAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
109 SOUTH PARK BLVD., SUITE 100, ST. AUGUSTINE, FL 32086
(904) 824-1478
(904) 824-8071
Mailing address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 345-7336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
31426
FL
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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