JESSICA SUE COSTAKES

ST AUGUSTINE, FL
NPI1992814545
Former NameJESSICA SUE KECK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2006-08-29
Last Update Date2008-10-07
Business Address
JESSICA SUE COSTAKES PT
190 SOUTHPARK BLVD SUITE 100
ST AUGUSTINE, FL 32086-4120
Phone number: 904-824-1478
Mailing Address
JESSICA SUE COSTAKES PT
3572 MARLINSPIKE DR
TAMPA, FL 33607-5871
Phone number: 517-214-2713
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