Individual
ANITY TOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8101 SOUTHSIDE BLVD STE 9, JACKSONVILLE, FL 32256-8005
(904) 928-1133
Mailing address
200 IRONWOOD DR UNIT 224, PONTE VEDRA BEACH, FL 32082-2292
(904) 614-2740
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT14604
LICENSE #
FL
Enumeration date
08/29/2006
Last updated
07/08/2007
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