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Organization
TALLAHASSEE PHYSICAL THERAPY AND REHABILITATION SERVICES LLC
Active
Organization
TALLAHASSEE PHYSICAL THERAPY AND REHABILITATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERT B. BOLDT II BS PT (OWNER)
(850) 519-4966
Entity
Organization
Contact information
Practice address
132 SALEM CT, TALLAHASSEE, FL 32301-2810
(850) 519-4966
(850) 597-9122
Mailing address
1 EAGLES WAY STE 333, CARRABELLE, FL 32322-8020
(850) 519-4966
(850) 597-9122
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0242781
—
FL
05
—
024278101
—
FL
01
—
1462057
COVENTRY HEALTHCARE OF FLORIDA
FL
01
—
704706
UNITED HEALTHCARE
—
Enumeration date
03/27/2007
Last updated
07/23/2026
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