Judo Ryu Jacksonville, INC

NPI #1982893509 in Atlantic Beach, Florida

Provider Information

NPI Number: 1982893509
Entity Type: Organization
Organization Name: Judo Ryu Jacksonville, INC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 19, 2007
Last Updated: Apr 20, 2008

Practice Location

Address: 1241 MAYPORT RD
City: Atlantic Beach
State: Florida
ZIP Code: 32233-3435
Phone: (904) 349-0990

Authorized Official

Name: SUSAN MANCHESTER
Title: BILLING AGENT
Phone: (904) 777-5002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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