TASHA MOUTON SHANKLIN

JACKSONVILLE, FL
NPI1780811968
Former NameTASHA CENTRELLY MOUTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT26076)
Enumeration Date2009-06-16
Last Update Date2020-10-12
Business Address
Ms. TASHA MOUTON SHANKLIN OTR, PT, OCS
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000
Mailing Address
Ms. TASHA MOUTON SHANKLIN OTR, PT, OCS
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000
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