Individual
JEREMIAH YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
319 W CALL ST, STARKE, FL 32091
(904) 368-1257
Mailing address
319 W CALL ST, STARKE, FL 32091-3172
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22340
FL
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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