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Organization
SKILLED THERAPY SERVICES INC
Active
Organization
SKILLED THERAPY SERVICES INC
Active
Other names
Kennedy Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER C KENNEDY RPT (PRESIDENT)
(386) 325-1001
Entity
Organization
Contact information
Practice address
3603 CRILL AVE, PALATKA, FL 32177
(386) 325-1001
(386) 325-1199
Mailing address
3603 CRILL AVE, PALATKA, FL 32177
(386) 325-1001
(386) 325-1199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 13351
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q4V
BCBS
FL
Enumeration date
12/12/2005
Last updated
08/22/2020
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