Individual
DR. AMANDA RENE PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6639 SOUTHPOINT PKWY, STE. 103, JACKSONVILLE, FL 32216-8041
(904) 296-4140
(904) 279-0963
Mailing address
6639 SOUTHPOINT PKWY, STE. 103, JACKSONVILLE, FL 32216-8041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT24117
FL
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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