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Organization
SANTA ROSA COUNTY SCHOOL BOARD
Active
Organization
SANTA ROSA COUNTY SCHOOL BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODERICK C. GRACEY (DIRECTOR STUDENT SERVICES)
(850) 983-5587
Entity
Organization
Contact information
Practice address
6751 BERRYHILL ST, MILTON, FL 32570-4790
(850) 983-5151
Mailing address
6571 BERRYHILL, MILTON, FL 32570
(850) 983-5151
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081005301
—
FL
Enumeration date
12/20/2006
Last updated
01/29/2009
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