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NPI Code Detail

MEDICARE: LAURA D STINSON P.T.

MEDICARE:   LAURA D STINSON  P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT5598FL

General Provider Information

NPI Number : 1841249661
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA D STINSON P.T.
Provider Business Mailing Address
First Line : 1325 SAN MARCO BLVD
Second Line : SUITE 701
City : JACKSONVILLE
State : FL
Zip : 32207-8568
Country : US
Telephone Number : 904-858-6418
Fax Number : 904-858-6490
Provider Business Practice Location Address
First Line : 4339 ROOSEVELT BLVD
Second Line : #600
City : JACKSONVILLE
State : FL
Zip : 32210-2004
Country : US
Telephone Number : 904-389-8570
Fax Number : 904-389-8599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 09/11/2007

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Directions to “ LAURA D STINSON P.T.” Practice Location

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