Jessica Sue Costakes, PT
NPI #1992814545 in St Augustine, Florida
Provider Information
- NPI Number
- 1992814545
- Entity Type
- Individual
- Name
- Jessica Sue Costakes, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Aug 29, 2006
- Last Updated
- Oct 7, 2008
Practice Location
- Address
- 190 SOUTHPARK BLVD
- Address 2
- SUITE 100
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32086-4120
- Phone
- (904) 824-1478
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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