JENNIFER SUSAN MCILVAINE

TAMPA, FL
NPI1649503749
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT 24794)
Enumeration Date2009-09-08
Last Update Date2009-09-08
Business Address
-- JENNIFER SUSAN MCILVAINE DPT
601 CHANNELSIDE WALK WAY #1143
TAMPA, FL 33602-6748
Phone number: 352-219-9644
Mailing Address
-- JENNIFER SUSAN MCILVAINE DPT
601 CHANNELSIDE WALK WAY #1143
TAMPA, FL 33602-6748
Phone number: 352-219-9644
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