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Christi Bisson, PTA

Physical Therapy Assistant in Orange Park, FL. Individual provider (NPI-1).

NPI number1164514592
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1164514592
Entity type
Individual (NPI-1)
Name
Christi Bisson
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
Sep 30, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA17460FLYes

Practice location

540 Kingsley Ave
Orange Park, FL 32073-4847

Phone 904-264-2156

Mailing address

1725 Ferncreek Dr
St Augustine, FL 32092-5029

Phone 904-287-5219

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