Individual
EMMALY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11401 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-1402
(904) 206-1818
Mailing address
2219 HOVINGTON CIR E, JACKSONVILLE, FL 32246-7292
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ10201
FL
Other
Enumeration date
06/23/2021
Last updated
07/26/2021
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