Individual
EMILY LADDUSAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1835 EASTWEST PKWY, FLEMING ISLAND, FL 32003-6336
(904) 215-3958
Mailing address
3398 TALISMAN DR, MIDDLEBURG, FL 32068-7851
(361) 455-7621
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTAT32630
FL
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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