Individual ProviderAbby MailletPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3599 University Blvd S, Jacksonville, FL 32216-4252(904) 345-6812PECOS EnrollmentBased on the most recent information from CMS, provider Abby Maillet does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1396383949Provider TypeIndividualFull NameMaillet, AbbyCredentialPT,DPTGenderFemaleSole ProprietorNoEnumeration Date12/13/2019Last Updated12/13/2019Contact InformationPractice LocationPractice Address3599 University Blvd S, Jacksonville, FL 32216-4252Phone(904) 345-6812FaxUnlisted FaxMailing LocationMailing Address3599 University Blvd S, Jacksonville, FL 32216-4252Phone(904) 345-6812FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT35415Florida