Organization
WILDFLOWER PEDIATRIC THERAPY
Active
Other names
Wildflower Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXIS NICOLE MYERS DPT (PHYSICAL THERAPIST)
(904) 874-0263
Entity
Organization
Contact information
Practice address
10373 BIG TREE CIR E, JACKSONVILLE, FL 32257-6356
(904) 874-0263
Mailing address
85313 HARTS RD, YULEE, FL 32097-3892
(904) 468-5124
(904) 990-1356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/14/2026
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