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Organization
THERAPY DIRECT, LLC
Active
Organization
THERAPY DIRECT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NOEL NOSSE OTR/L (OWNER)
(904) 525-0635
Entity
Organization
Contact information
Practice address
470 SPARROW BRACH CIRCLE, ST JOHNS, FL 32259
(904) 525-0635
(904) 287-2492
Mailing address
470 SPARROW BRACH CIRCLE, ST JOHNS, FL 32259
(904) 525-0635
(904) 287-2492
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT9465
FL
225X00000X
Occupational Therapist
OT11540
FL
235Z00000X
Speech-Language Pathologist
SA8670
FL
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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