Organization
ADVANCED MANUAL PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB COREY BARR P.T., D.P.T., M.T.C. (PRESIDENT)
(386) 299-3192
Entity
Organization
Contact information
Practice address
33 ORMOND GREEN BLVD, ORMOND BEACH, FL 32174-8768
(386) 299-3192
Mailing address
33 ORMOND GREEN BLVD, ORMOND BEACH, FL 32174-8768
(386) 299-3192
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT18544
FL
Other
Enumeration date
11/23/2007
Last updated
01/10/2008
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