Individual
MS. JACQUELINE SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12975 COLLIER BLVD STE 102, NAPLES, FL 34116-4004
(239) 649-8001
(239) 649-8003
Mailing address
2500 TAMIAMI TRL N STE 222, NAPLES, FL 34103-4470
(239) 649-8001
(239) 649-8003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27049
FL
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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