Individual
MS. ELAN ELAINE MASTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2966 RIVERSIDE AVE, JACKSONVILLE, FL 32205-8129
(904) 477-3805
Mailing address
2966 RIVERSIDE AVE, JACKSONVILLE, FL 32205-8129
(904) 477-3805
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT11657
NC
225100000X
Physical Therapist
PT18650
MA
225100000X
Physical Therapist
Primary
PT23989
FL
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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