Concierge Physio LLC
Physical Therapist in Jacksonville Beach, FL. Organization (NPI-2).
NPI number1013559632
StatusActive
Last updated in NPPESAug 26, 2022
Details
- NPI
- 1013559632
- Entity type
- Organization (NPI-2)
- Legal business name
- Concierge Physio LLC
- Organization subpart
- No
- Enumeration date
- Oct 15, 2019
- Certification date
- Aug 26, 2022
- Last updated
- Aug 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 224Z00000X | Occupational Therapy Assistant | – | – | |
| 225200000X | Physical Therapy Assistant | – | – | |
| 225X00000X | Occupational Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Other names
- Direct Orthopedic Therapy (Doing Business As)
Practice location
708 3rd St NJacksonville Beach, FL 32250-7149
Phone 904-822-4622 · Fax 904-201-2595
Mailing address
708 3rd St NJacksonville Beach, FL 32250-7149
Phone 904-822-4622 · Fax 904-201-2595
Authorized official
Jonson Yousefzadeh
Owner
9042369809
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