Individual
DEBORAH ANN HEADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-2000
Mailing address
1425 JESSICA WAY, JACKSONVILLE, FL 32259-5476
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4476
FL
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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