PHAEDRA TRITON

JACKSONVILLE, FL
NPI1164244810
Former NamePHAEDRA STARR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
Enumeration Date2024-10-24
Last Update Date2024-10-28
Business Address
PHAEDRA TRITON COTA
2103 GILMORE STREET
JACKSONVILLE, FL 32204
Phone number: 904-906-3878
Mailing Address
PHAEDRA TRITON COTA
2509 NORTH WATERLEAF DRIVE
ST. AUGUSTINE, FL 32092
Phone number: 619-366-0228
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