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Abby Premo

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

NPI number1295279727
StatusActive
Last updated in NPPESDec 19, 2016

Details

NPI
1295279727
Entity type
Individual (NPI-1)
Name
Abby Premo
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 19, 2016
Last updated
Dec 19, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

6867 Southpoint Dr N
Jacksonville, FL 32216-8043

Phone 904-619-6071

Mailing address

6867 Southpoint Dr N
Jacksonville, FL 32216-8043

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