Organization
SELECT MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIGHAM NATHANIEL GRIEVE (PHYSICAL THERAPIST ASSISTANT)
(904) 268-4953
Entity
Organization
Contact information
Practice address
10680 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32257-1000
(904) 268-4953
Mailing address
10680 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32257-1000
(904) 268-4953
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTA25570
FL
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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