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Individual

JAYME STACHURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3825 COUNTRYSIDE BLVD N, PALM HARBOR, FL 34684-4928
(727) 784-2848
Mailing address
4287 TREMBLAY WAY, PALM HARBOR, FL 34685-2645
(214) 502-5084

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29268
FL

Other

Enumeration date
10/14/2019
Last updated
10/14/2019
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