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Organization
LAKE AREA PHYSICAL THERAPY PALATKA
Active
Organization
LAKE AREA PHYSICAL THERAPY PALATKA
Active
Parent organization
LAKE AREA PHYSICAL THERAPY CRESCENT CITY, INC
Other names
Lake Area Physical Therapy Palatka
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE AREA PHYSICAL THERAPY CRESCENT CITY, INC
Authorized official
MICHELLE JUSTICE (CREDENTIALING/ACCOUNTS RECEIVABLE)
(352) 475-3113
Entity
Organization
Contact information
Practice address
800 ZEAGLER DR, PALATKA, FL 32177-3883
(352) 475-3113
Mailing address
PO BOX 1099, MELROSE, FL 32666-1099
(352) 475-3113
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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