SearchFloridaPhysical Therapy Assistant

Thomas Elledge, PTA

NPI 1124651922 · on the registry since 2020

Practice

Address
1701 Park Ave
Orange Park, FL 32073
Phone
(904) 278-1200
Organisation at this address
Moosehaven Inc
Michael A. Stephens Md Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-02-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida