Coltman And Baughman Physical Therapy PA
Clinic/Center, Physical Therapy in Jacksonville, FL. Organization (NPI-2).
NPI number1962079467
StatusActive
Last updated in NPPESJun 4, 2021
Details
- NPI
- 1962079467
- Entity type
- Organization (NPI-2)
- Legal business name
- Coltman And Baughman Physical Therapy PA
- Organization subpart
- No
- Enumeration date
- Jun 4, 2021
- Certification date
- Jun 4, 2021
- Last updated
- Jun 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
14797 Philips Hwy # 205Jacksonville, FL 32256-3746
Phone 904-853-5106
Mailing address
350 13th Ave SJacksonville Beach, FL 32250-5024
Phone 904-853-5106 · Fax 904-853-5107
Authorized official
Mark Henry Baughman
Physical Therapist / Partner
9048535106
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