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Organization

A1A PHYSICAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HOLLY FAUNCE DPT (OWNER/PHYSICAL THERAPIST)
(904) 874-8547
Entity
Organization

Contact information

Practice address
8 OCEAN TRACE RD, SAINT AUGUSTINE, FL 32080-6972
(904) 874-8547
(904) 780-5426
Mailing address
358 MISSION TRACE DR, SAINT AUGUSTINE, FL 32084-1154
(904) 874-8547
(904) 780-5426

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Enumeration date
10/27/2020
Last updated
10/27/2020
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