Organization

Tallahassee Physical Therapy And Rehabilitation Services Llc

Physical Therapist in Tallahassee, FL(View on Map)

Legal Business Name

Tallahassee Physical Therapy And Rehabilitation Services Llc

NPI Number

1356469514

NPI Type

Organization

Enumeration Date

03/27/2007

Specialties

(Taxonomies)

Code

225100000X
225700000X
225X00000X
235Z00000X

Primary Taxonomy

Yes
No
No
No

Contact
Information

Purpose

Mailing
Location

Address

1 EAGLES WAY STE 333
132 SALEM CT

City

Carrabelle
Tallahassee

State

FL
FL

Postal Code

32322-8020
32301-2810

Country

US
US

Telephone Number

(850) 519-4966
(850) 877-8177

Authorized Official

Name

Mr. Bert Boldt

Title or Position

AUTHORIZED OFFICIAL/OWNER

Telephone Number

(850) 519-4966

Identifiers

Identifier

024278101
1462057
704706
0242781

Identifier State

FL
FL
Unknown
FL

Identifier Issuer

Unknown
COVENTRY HEALTHCARE OF FLORIDA
UNITED HEALTHCARE
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/03/2024

Provider Address

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Organization

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Organization

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