Jacksonville Orthopaedic Institute INC

NPI #1801381835 in Ponte Vedra, Florida

Provider Information

NPI Number: 1801381835
Entity Type: Organization
Organization Name: Jacksonville Orthopaedic Institute INC
Primary Specialty: Physical Therapist
Enumeration Date: Jun 22, 2018
Last Updated: Jan 8, 2019

Practice Location

Address: 203 FORT WADE RD UNIT 130
City: Ponte Vedra
State: Florida
ZIP Code: 32081-5159
Phone: (904) 686-3111

Authorized Official

Name: MR. TIMOTHY WALL, MS, ATC
Title: ADMINISTRATOR
Phone: (904) 858-7045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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