Individual
ALYSSA COSTANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, LAT, ATC
Contact information
Practice address
6248 103RD ST, JACKSONVILLE, FL 32210-7733
(904) 573-0046
(904) 573-0772
Mailing address
6248 103RD ST, JACKSONVILLE, FL 32210-7733
(904) 573-0046
(904) 573-0772
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT34054
FL
2255A2300X
Athletic Trainer
AL3595
FL
Other
Enumeration date
09/23/2014
Last updated
09/28/2020
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