Therapy Source Llc

NPI 1245437359 - Occupational Therapist - 225X00000X

NPI Details
NPI 1245437359
Enumeration Date 07/02/2007
Last Updated 10/17/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name HOLLY C HOLLY
Position CEO
Phone (904) 396-1462
Fax (904) 396-1199
Practice Location
3311 BEACH BLVD
JACKSONVILLE FL, 32207-3704, US
Phone (904) 396-1462
Fax (904) 396-1199
Business Location
3311 BEACH BLVD
JACKSONVILLE FL, 32207-3704, US
Phone (904) 396-1462
Fax (904) 396-1199
Toxanomy
Taxonomy Code 225X00000X
License State
License Number
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According to our database, Therapy Source Llc NPI is 1245437359, taxonomy code is 225X00000X Therapy Source Llc physically located at 3311 Beach Blvd, Jacksonville FL, 32207-3704. NPI Number 1033115704 has the healthcare provider type.

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1245437359 NPI number is provided on an as is basis without warranty of any kind. 1245437359 is maintained by the National Plan & Provider Enumeration System. The contents of Therapy Source Llc are for informational purposes only.