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Organization
SUMMIT PHYSICAL THERAPY, PLLC
Active
Organization
SUMMIT PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA REEVES VOLLERTSEN (OWNER)
(360) 707-8107
Entity
Organization
Contact information
Practice address
2219 COUNTY ROAD 220 STE 304, MIDDLEBURG, FL 32068-7778
(360) 707-8107
Mailing address
2379 CAROLINA CHERRY CT, FLEMING ISLAND, FL 32003-3373
(360) 707-8107
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
05/11/2026
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