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Organization
TALLAHASSEE ORTHOPEDIC & SPORTS PHYSICAL THERAPY, LLC
Active
Organization
TALLAHASSEE ORTHOPEDIC & SPORTS PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENT KNISLEY D.P.T. (CEO)
(850) 877-8855
Entity
Organization
Contact information
Practice address
1891 CAPITAL CIR NE STE 2, TALLAHASSEE, FL 32308-4486
(850) 877-8855
(850) 877-7627
Mailing address
PO BOX 13269, TALLAHASSEE, FL 32317-3269
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
883224200
—
FL
Enumeration date
05/11/2006
Last updated
03/27/2020
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