Organization
SB PHYSICAL THERAPY AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE J BUSH DPT (PHYSICAL THERAPIST)
(904) 655-9094
Entity
Organization
Contact information
Practice address
179 SOLANO CAY CIR, PONTE VEDRA BEACH, FL 32082-2246
(904) 655-9094
Mailing address
830 A1A N STE 13, PONTE VEDRA BEACH, FL 32082-3290
(904) 655-9094
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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