Individual
DANA TAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11114 PARKSIDE PRESERVE WAY, JACKSONVILLE, FL 32257-1564
(904) 525-7091
Mailing address
11114 PARKSIDE PRESERVE WAY, JACKSONVILLE, FL 32257-1564
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21179
FL
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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