Thomas Elledge JR., PTA
NPI #1124651922 in Orange Park, Florida
Provider Information
- NPI Number
- 1124651922
- Entity Type
- Individual
- Name
- Thomas Elledge JR., PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Feb 20, 2020
- Last Updated
- Feb 20, 2020
Practice Location
- Address
- 1701 PARK AVE
- City
- Orange Park
- State
- Florida
- ZIP Code
- 32073-4900
- Phone
- (904) 278-1200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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