Organization
BODYWISE STUDIOS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN POLAND HUFFMAN P.T. (PRESIDENT)
(904) 794-6760
Entity
Organization
Contact information
Practice address
2706 OLD MOULTRIE RD, ST AUGUSTINE, FL 32086-5447
(904) 794-6760
Mailing address
PO BOX 5538, ST AUGUSTINE, FL 32085-5538
(904) 794-6760
(904) 794-6760
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT 12766
FL
Other
Enumeration date
10/11/2006
Last updated
10/05/2011
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