Individual
IULIIA VARTANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6138 KENNERLY RD UNIT 150, JACKSONVILLE, FL 32216-4395
(904) 624-2531
Mailing address
8123 SUMMER PALM CT, JACKSONVILLE, FL 32256-3951
(904) 624-2531
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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