Elizabeth Dejesus in Jacksonville - Physical Therapy Assistant
Elizabeth Dejesus - NPI 1033376363
Elizabeth Dejesus is a Physical Therapy Assistant in Jacksonville, Florida. Elizabeth Dejesus practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Elizabeth Dejesus is 1033376363. The last update date is 2008-05-22.
Elizabeth Dejesus's current location address is 800 Prudential Dr, Jacksonville, Florida. You can contact this provider via phone number 9042022000. The mailing address for Elizabeth Dejesus is 800 Prudential Dr, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth Dejesus |
|---|---|
| Address | 800 Prudential Dr, Jacksonville, Florida |
| Phone Number | 9042022000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1033376363 |
|---|---|
| Provider Enumeration Date | 2008-05-22 |
| Last Updated Date | 2008-05-22 |
Provider Mailing Address Detail
| Address | 800 Prudential Dr |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322078202 |
| Phone Number | 9042022000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | PTA20034 |
|
Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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What is the Elizabeth Dejesus's unique identification number?
The Elizabeth Dejesus has been assigned the NPI (National Provider Identifier) Number 1033376363 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Elizabeth Dejesus located?
The Elizabeth Dejesus is located at 800 Prudential Dr, Jacksonville, FL 322078202.
What is the Elizabeth Dejesus's area of specialization and corresponding taxonomy classification?
The Elizabeth Dejesus's specialty field is Physical Therapy Assistant, and it falls under the taxonomy code 225200000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1033376363 to Elizabeth Dejesus?
The Elizabeth Dejesus received its 1033376363 assignment from the Centers for Medicare & Medicaid Services on 2008-05-22.
As of what date were the details related to Elizabeth Dejesus most recently updated or revised?
The information pertaining to Elizabeth Dejesus, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-22.
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