Core Connection Physical Therapy, LLC
Clinic/Center, Physical Therapy in St Augustine, FL. Organization (NPI-2).
NPI number1710691365
StatusActive
Last updated in NPPESMar 2, 2023
Details
- NPI
- 1710691365
- Entity type
- Organization (NPI-2)
- Legal business name
- Core Connection Physical Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Jan 9, 2023
- Certification date
- Mar 2, 2023
- Last updated
- Mar 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
1720 A1a S Unit ESt Augustine, FL 32080-5547
Phone 757-353-7500
Mailing address
1720 A1a S Unit ESt Augustine, FL 32080-5547
Phone 757-353-7500
Authorized official
Sarah Sudheimer
Physical Therapist/Owner
7573537500
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