Organization
TAILORED PHYSICAL THERAPY LLC
Active
Organization
TAILORED PHYSICAL THERAPY LLC
Active
Other names
Tailored Physical Therapy and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE K NIERENBERG DPT (PT OWNER)
(904) 859-8103
Entity
Organization
Contact information
Practice address
4034 SCHIRRA DR, JACKSONVILLE, FL 32277-1727
(904) 859-8103
Mailing address
4034 SCHIRRA DR, JACKSONVILLE, FL 32277-1727
(904) 859-8103
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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