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Organization

DIRECT PHYSICAL THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOCELYN BESA WHITE PT, DPT, CLT (OWNER)
(386) 401-6100
Entity
Organization

Contact information

Practice address
1495 S VOLUSIA AVE STE 101, ORANGE CITY, FL 32763-7047
(386) 401-6100
(386) 960-0551
Mailing address
1495 S VOLUSIA AVE STE 101, ORANGE CITY, FL 32763-7047
(386) 401-6100
(386) 960-0551

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PT32520
FL
225100000X
Physical Therapist
Primary

Other

Enumeration date
01/23/2018
Last updated
01/27/2023
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