JEREMY DOUGLAS

GAINESVILLE, FL
NPI1174281828
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA27275)
Enumeration Date2021-11-30
Last Update Date2021-11-30
Business Address
JEREMY DOUGLAS PTA
4842 SW ARCHER RD
GAINESVILLE, FL 32608-3813
Phone number: 352-378-7172
Mailing Address
JEREMY DOUGLAS PTA
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 800-804-9961