Nicole Edie, PTA

NPI #1841924404 in Ponte Vedra, Florida

Provider Information

NPI Number: 1841924404
Entity Type: Individual
Name: Nicole Edie, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 11, 2022
Last Updated: Jul 11, 2022

Practice Location

Address: 13000 SAWGRASS VILLAGE CIR STE 14
City: Ponte Vedra
State: Florida
ZIP Code: 32082-3078
Phone: (904) 881-7612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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