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Individual

JACQUELINE MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1701 PARK AVE, ORANGE PARK, FL 32073-4946
(904) 278-1200
(352) 382-1146
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(800) 804-9961
(352) 384-1146

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31538
FL

Other

Enumeration date
11/19/2021
Last updated
11/19/2021
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