Organization
SELECT PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HAUSER (MARKET MANAGER)
(904) 346-0528
Entity
Organization
Contact information
Practice address
1328 VINE ST, JACKSONVILLE, FL 32207-8743
(904) 346-0528
Mailing address
1328 VINE ST, JACKSONVILLE, FL 32207-8743
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT18123
FL
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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