THOMAS ELLEDGE

ORANGE PARK, FL
NPI1124651922
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA28999)
Enumeration Date2020-02-20
Last Update Date2020-02-20
Business Address
THOMAS ELLEDGE PTA
1701 PARK AVE
ORANGE PARK, FL 32073-4900
Phone number: 904-278-1200
Mailing Address
THOMAS ELLEDGE PTA
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 352-382-7214
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