MRS. Jennifer Renee Carlisle, PTA

NPI #1376786335 in Amelia Island, Florida

Provider Information

NPI Number: 1376786335
Entity Type: Individual
Name: MRS. Jennifer Renee Carlisle, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 7, 2009
Last Updated: Apr 7, 2009

Practice Location

Address: 76 OSPREY VILLAGE DR
City: Amelia Island
State: Florida
ZIP Code: 32034-4962
Phone: (904) 491-1701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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