Theron A. Jernigan JR., P.T.

NPI #1861521502 in Redington Beach, Florida

Provider Information

NPI Number: 1861521502
Entity Type: Individual
Name: Theron A. Jernigan JR., P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Mar 5, 2007
Last Updated: Feb 21, 2010

Practice Location

Address: 15851 REDINGTON DR
City: Redington Beach
State: Florida
ZIP Code: 33708-1743
Phone: (727) 403-1881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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