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Organization
NORTH FLORIDA THERAPY ASSOCIATES, LLC
Active
Organization
NORTH FLORIDA THERAPY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA GILLMER MS, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(904) 910-2296
Entity
Organization
Contact information
Practice address
784 BLANDING BLVD STE 108, ORANGE PARK, FL 32065-7724
(904) 264-2636
(904) 517-1621
Mailing address
784 BLANDING BLVD STE 108, ORANGE PARK, FL 32065-7724
(904) 264-2636
(904) 517-1621
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
OT9446
FL
235Z00000X
Speech-Language Pathologist
SA8670
FL
235Z00000X
Speech-Language Pathologist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
10/14/2008
Last updated
11/03/2022
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