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Organization
SHELTON THERAPY INC
Active
Organization
SHELTON THERAPY INC
Active
Other names
Progressive Step Rehabilitation Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA J DAVIS (BUSINESS MANAGER)
(904) 646-1144
Entity
Organization
Contact information
Practice address
720 SAINT JOHNS BLUFF RD N, STE 1, JACKSONVILLE, FL 32225-6704
(904) 646-1144
(904) 928-0039
Mailing address
720 SAINT JOHNS BLUFF RD N, STE 1, JACKSONVILLE, FL 32225-6704
(904) 646-1144
(904) 928-0039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK5020
RAILROAD MEDICARE
FL
01
—
Y907R
BCBS
FL
Enumeration date
11/11/2005
Last updated
11/08/2007
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