JACQUELINE DANIELLE SHIFTLETT

ORLANDO, FL
NPI1639401433
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  20546)
Enumeration Date2010-02-03
Last Update Date2010-08-06
Business Address
-- JACQUELINE DANIELLE SHIFTLETT pta
11301 CORPORATE BLVD STE 101
ORLANDO, FL 32817-8355
Phone number: 800-774-7785
Mailing Address
-- JACQUELINE DANIELLE SHIFTLETT pta
1409 PERIWINKLE CT.
LAKELAND, FL 33811
Phone number:
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