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Organization
LAKE AREA PHYSICAL THERAPY CRESCENT CITY, INC
Active
Organization
LAKE AREA PHYSICAL THERAPY CRESCENT CITY, INC
Active
Parent organization
LAKE AREA PHYSICAL THERAPY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE AREA PHYSICAL THERAPY INC
Authorized official
MS. LAURA HODGES (OWNER)
(352) 475-3113
Entity
Organization
Contact information
Practice address
101 EUCALYPTUS AVE, CRESCENT CITY, FL 32112-2407
(352) 475-3113
Mailing address
PO BOX 1099, MELROSE, FL 32666-1099
(352) 475-3113
(352) 475-5796
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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