Individual
JEFFREY PAUL DUMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
31 LUPI CT, SUITE 150, PALM COAST, FL 32137-4761
(386) 447-0011
Mailing address
31 LUPI CT, SUITE 150, PALM COAST, FL 32137-4761
(386) 447-0011
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22480
FL
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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