Organization
REVAMP THERAPY L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASH BUTRIMAS (MANAGER/PHYSICAL THERAPIST)
(352) 226-2400
Entity
Organization
Contact information
Practice address
1935 SAN MARIE DR N, JACKSONVILLE, FL 32217-2348
(352) 226-2400
Mailing address
1935 SAN MARIE DR N, JACKSONVILLE, FL 32217-2348
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
PT222863
FL
Other
Enumeration date
04/04/2011
Last updated
04/18/2011
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