CEREBRAL PALSY OF NORTHEAST FLORIDA NPI 1902954662

NPI Information

CEREBRAL PALSY OF NORTHEAST FLORIDA is a specialist in Jacksonville, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CEREBRAL PALSY OF NORTHEAST FLORIDA NPI is 1902954662. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Therapy Source.

The provider's business location address is:

3271 TIGER HOLE RD
JACKSONVILLE, FL
ZIP 32216-859
Phone: (904) 730-6066
Fax: (904) 443-6264

The provider's authorized official is Holly Peters .
The authorized official title is Ceo and has the following contact phone number (904) 396-1462.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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