Organization · Type 2 NPI

Pediatric Center for Excellence, LLC

Pediatric Physical Therapist · Jacksonville, FL

NPI number 1215434980 Active

Practice location

13241 Bartram Park Blvd Unit 209
Jacksonville, FL 32258-5233

Fax (904) 674-2313

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XNone listed
Pediatric Occupational Therapist 225XP0200XNone listed
Speech-Language Pathologist 235Z00000XNone listed

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1215434980

Pediatric Center for Excellence, LLC's National Provider Identifier is 1215434980, issued on Apr 10, 2018. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Jacksonville, FL. The record was last updated on Apr 10, 2018.