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Organization
WILDFLOWER PEDIATRIC THERAPY
Active
Organization
WILDFLOWER PEDIATRIC THERAPY
Active
Other names
Wildflower Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXIS NICOLE MYERS DPT (PHYSICAL THERAPIST)
(904) 874-0263
Entity
Organization
Contact information
Practice address
10373 BIG TREE CIR E, JACKSONVILLE, FL 32257-6356
(904) 874-0263
Mailing address
85313 HARTS RD, YULEE, FL 32097-3892
(904) 468-5124
(904) 990-1356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/14/2026
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