Organization
SUMMIT PHYSICAL THERAPY, PLLC
Active
Parent organization
SUMMIT PHYSICAL THERAPY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT PHYSICAL THERAPY
Authorized official
TARA REEVES VOLLERTSEN (OWNER)
(904) 644-7722
Entity
Organization
Contact information
Practice address
1305 N ORANGE AVE STE 118, GREEN COVE SPRINGS, FL 32043-2553
(904) 531-5500
(904) 637-1532
Mailing address
2219 COUNTY ROAD 220 STE 304, MIDDLEBURG, FL 32068-7778
(904) 644-7722
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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