Organization
PHYSICAL THERAPY WORKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER KENNEY (OWNER PHYSICAL THERAPIST)
(904) 543-9011
Entity
Organization
Contact information
Practice address
100 EXECUTIVE WAY, SUITE 109, PONTE VEDRA BEACH, FL 32082-2715
(904) 543-9011
Mailing address
100 EXECUTIVE WAY, SUITE 109, PONTE VEDRA BEACH, FL 32082-2715
(904) 543-9011
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7044936
AETNA
FL
01
—
P00382647
MEDICARE RAILROAD
FL
01
—
Y924T
BCBS
FL
Enumeration date
09/25/2006
Last updated
03/17/2014
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