Individual
MRS. DEBRA DUDLEY TESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12421 SAN JOSE BLVD, SUITE 100, JACKSONVILLE, FL 32223-8662
(904) 292-0195
(904) 292-0566
Mailing address
12421 SAN JOSE BLVD, SUITE 100, JACKSONVILLE, FL 32223-8662
(904) 292-0195
(904) 292-0566
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT25262
FL
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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