Individual
JENNA PAIGE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD STE 774, PORT ORANGE, FL 32128-8321
(888) 265-2680
Mailing address
1515 FORDE AVE, TARPON SPRINGS, FL 34689-2277
(727) 359-9155
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28231
FL
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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