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1205206166
AMBER NISWANDER
JACKSONVILLE, FL
NPI
1205206166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA 19875)
Enumeration Date
2015-10-03
Last Update Date
2015-10-03
Business Address
-- AMBER NISWANDER PTA
11868 FITCHWOOD CIR
JACKSONVILLE, FL 32258-4505
Phone number: 386-965-4348
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Mailing Address
-- AMBER NISWANDER PTA
11868 FITCHWOOD CIR
JACKSONVILLE, FL 32258-4505
Phone number: 386-965-4348
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