Individual
AMY JEAN PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
550 WELLS RD, SUITE #4, ORANGE PARK, FL 32073-2969
(904) 278-7890
(904) 278-7762
Mailing address
1852 ABA DR, ORANGE PARK, FL 32073-2782
(904) 269-1397
(904) 278-7762
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT18703
FL
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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