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Premier Physical Therapy And Rehabilitation Of Jacksonville, INC

Physical Therapist in Jacksonville, FL. Organization (NPI-2).

NPI number1003673765
StatusActive
Last updated in NPPESFeb 29, 2024

Details

NPI
1003673765
Entity type
Organization (NPI-2)
Legal business name
Premier Physical Therapy And Rehabilitation Of Jacksonville, INC
Organization subpart
No
Enumeration date
Feb 29, 2024
Certification date
Feb 29, 2024
Last updated
Feb 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

11339 Distribution Ave E
Jacksonville, FL 32256-2738

Phone 904-996-6922

Mailing address

11339 Distribution Ave E
Jacksonville, FL 32256-2738

Phone 904-996-6922

Authorized official

Christopher Karl Kopp
Owner
9049966922

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