Individual
MRS. JAMIE LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1912 STATE ROAD 44, NEW SMYRNA BEACH, FL 32168-8345
(386) 423-1070
(386) 423-0780
Mailing address
3212 MANGO TREE DR, EDGEWATER, FL 32141-6707
(386) 428-4548
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19712
FL
Other
Enumeration date
03/01/2007
Last updated
07/09/2007
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