Organization
PHYSICAL THERAPY & REHABILITATION CLINIC INC
Active
Organization
PHYSICAL THERAPY & REHABILITATION CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN C WELDON MS,PT (VICE-PRESIDENT)
(904) 272-2830
Entity
Organization
Contact information
Practice address
2140 KINGSLEY AVE, SUITE 5, ORANGE PARK, FL 32073-5180
(904) 272-2830
(904) 272-8814
Mailing address
2140 KINGSLEY AVE, SUITE 5, ORANGE PARK, FL 32073-5180
(904) 272-2830
(904) 272-8814
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022381500
—
FL
05
—
022381502
—
FL
05
—
022381503
—
FL
Enumeration date
02/17/2006
Last updated
05/04/2026
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