Organization
CONCIERGE PHYSIO LLC
Active
Organization
CONCIERGE PHYSIO LLC
Active
Other names
Direct Orthopedic Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JONSON YOUSEFZADEH PT, DPT (OWNER)
(904) 236-9809
Entity
Organization
Contact information
Practice address
708 3RD ST N, JACKSONVILLE BEACH, FL 32250-7149
(904) 822-4622
(904) 201-2595
Mailing address
708 3RD ST N, JACKSONVILLE BEACH, FL 32250-7149
(904) 822-4622
(904) 201-2595
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/15/2019
Last updated
08/26/2022
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