Individual
CASSIDY JORDAN MAISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT DPT
Contact information
Practice address
7749 NORMANDY BLVD STE 147, JACKSONVILLE, FL 32221-7658
(904) 786-5579
Mailing address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 345-7251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT39918
FL
Other
Enumeration date
03/03/2023
Last updated
07/02/2024
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