Individual provider · Type 1 NPI

Jessica Ann Braddock

Physical Therapy Assistant · Jacksonville, FL

NPI number 1124340351 Active

Practice location

4495 Roosevelt Blvd, Suite #317
Jacksonville, FL 32210-3375

Call (904) 384-4415 Map

Fax (904) 384-4212

Mailing address

540 Kingsley Ave
Orange Park, FL 32073-4830

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA21789 (FL)

Physical Therapy Assistant: (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 Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1124340351

Jessica Ann Braddock's National Provider Identifier is 1124340351, issued on Feb 15, 2010. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 15, 2010.