Individual
JODY WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1705 NW 6TH ST, GAINESVILLE, FL 32609
(352) 378-4848
Mailing address
7823 SW 9TH PLACE, GAINESVILLE, FL 32607
(325) 359-3756
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA39536
FL
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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