Revival Physical Therapy INC

NPI #1841243359 in Orange Park, Florida

Provider Information

NPI Number: 1841243359
Entity Type: Organization
Organization Name: Revival Physical Therapy INC
Primary Specialty: Physical Therapist
Enumeration Date: May 18, 2006
Last Updated: Jul 10, 2023

Practice Location

Address: 2301 PARK AVE STE 1
City: Orange Park
State: Florida
ZIP Code: 32073-5565
Phone: (904) 264-3005

Authorized Official

Name: MRS. LINZY E. GARCIA, RPT
Title: CLINICAL DIRECTOR/ OWNER
Phone: (904) 264-3005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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