Individual
JOANNA BALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10475 CENTURION PKWY N STE 304, JACKSONVILLE, FL 32256-5004
(904) 854-2050
Mailing address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 345-7336
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27110
FL
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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