Individual
CALEB READ BLACKSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7990 BAYMEADOWS RD E UNIT 903, JACKSONVILLE, FL 32256-2972
(904) 553-4413
Mailing address
7990 BAYMEADOWS RD E UNIT 903, JACKSONVILLE, FL 32256-2972
(904) 553-4413
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26264
FL
Other
Enumeration date
03/15/2016
Last updated
03/21/2016
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