Individual
JESSICA ANNE PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2154 SE SUNFLOWER ST, PORT ST LUCIE, FL 34952-4878
(772) 418-0399
Mailing address
2154 SE SUNFLOWER ST, PORT ST LUCIE, FL 34952-4878
(772) 418-0399
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
33646
FL
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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