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Allie Pruett, PT, DPT

Physical Therapist in Jacksonville, FL. Individual provider (NPI-1).

NPI number1093317455
StatusActive
Last updated in NPPESJul 20, 2023

Details

NPI
1093317455
Entity type
Individual (NPI-1)
Name
Allie Pruett
Credential
PT, DPT
Sex
Female
Sole proprietor
No
Enumeration date
Nov 11, 2020
Certification date
Jul 20, 2023
Last updated
Jul 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT36210FLYes
2251P0200X Physical Therapist, Pediatrics2305213885VA

Practice location

3901 University Blvd S
Jacksonville, FL 32216-4312

Phone 904-345-6920

Mailing address

3901 University Blvd S
Jacksonville, FL 32216-4312

Phone 904-345-7310

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