Her Essence Physical Therapy & Wellness LLC
Clinic/Center, Physical Therapy in Jacksonville, FL. Organization (NPI-2).
NPI number1124676002
StatusActive
Last updated in NPPESSep 29, 2022
Details
- NPI
- 1124676002
- Entity type
- Organization (NPI-2)
- Legal business name
- Her Essence Physical Therapy & Wellness LLC
- Organization subpart
- No
- Enumeration date
- Sep 3, 2019
- Certification date
- Sep 29, 2022
- Last updated
- Sep 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
3846 Anderson Woods DrJacksonville, FL 32218-9226
Phone 904-710-2729
Mailing address
3846 Anderson Woods DrJacksonville, FL 32218-9226
Phone 904-638-3176
Other practice locations
3890 Dunn Ave Ste 1001
Jacksonville, FL 32218-6429
Jacksonville, FL 32218-6429
Phone 904-638-3176
Authorized official
Janae V Cisero
Owner
9047102729
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