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Heather Profetto, PTA
NPI 1316379332 · on the registry since 2013 · sole proprietor
Practice
- Address
- 8505 San Jose Blvd
Jacksonville, FL 32217 - Phone
- (904) 419-6101
- Organisation at this address
- Genesis Health Development, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-08-01
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