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Organization
PHYSICAL THERAPY ASSOCIATES OF ORANGE PARK
Active
Organization
PHYSICAL THERAPY ASSOCIATES OF ORANGE PARK
Active
Other names
Progressive Step Rehab of Orange Park
Organization subpart
No
Provider details
NPI number
Authorized official
ED N COLLIER (PRESIDENT)
(904) 264-6304
Entity
Organization
Contact information
Practice address
1550 BUSINESS CENTER DR, SUITE B, ORANGE PARK, FL 32003-7450
(904) 264-6304
Mailing address
454 BLANDING BLVD, SUITE B, ORANGE PARK, FL 32073-5018
(904) 276-7881
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y904L
BCBS
FL
Enumeration date
11/14/2006
Last updated
08/22/2020
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