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Organization
SUMMIT PHYSICAL THERAPY, PLLC
Active
Organization
SUMMIT PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA REEVES VOLLERTSEN (OWNER)
(904) 644-7722
Entity
Organization
Contact information
Practice address
2140 KINGSLEY AVE, ORANGE PARK, FL 32073-5180
(904) 644-7722
Mailing address
2140 KINGSLEY AVE, ORANGE PARK, FL 32073-5180
(904) 644-7722
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
09/26/2023
Last updated
05/11/2026
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