Individual
JUSTICE MIXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3688 DILLON STREET, JACKSONVILLE, FL 32254
(904) 401-1368
Mailing address
3688 DILLON STREET, JACKSONVILLE, FL 32254
(904) 401-1368
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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