Learningrx St Johns, LLC
Rehabilitation Practitioner in Saint Augustine, FL. Organization (NPI-2).
NPI number1982285532
StatusActive
Last updated in NPPESApr 15, 2021
Details
- NPI
- 1982285532
- Entity type
- Organization (NPI-2)
- Legal business name
- Learningrx St Johns, LLC
- Organization subpart
- No
- Enumeration date
- Apr 15, 2021
- Certification date
- Apr 15, 2021
- Last updated
- Apr 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Other names
- Learningrx St Johns (Doing Business As)
Practice location
113 Nature Walk Pkwy Unit 103Saint Augustine, FL 32092-3066
Phone 904-719-8416
Mailing address
113 Nature Walk Pkwy Unit 103Saint Augustine, FL 32092-3066
Phone 904-719-8416
Authorized official
Kelli Fontaine
Director
9045401850
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