PHYSICAL THERAPY MASTERS, PA
Physical Therapy at Grassington Way, Jacksonville, FL

License number
Florida PT 16806
Category
Restorative Service Providers
Type
Physical Therapist
Owner
Name: CAROL ANNE BLOMGREN M.P.T.
Title: OWNER/PHYSICAL THERAPIST
Phone: (904) 262-9295
Address
Address
1763 Grassington Way S, Jacksonville, FL 32223
National Provider ID: 1740286525
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHYSICAL THERAPY MASTERS, PA

1763 Grassington Way S, Jacksonville, FL 32223

Status:
Inactive
Industry:
Health Practitioner's Office
Inactive reason:
VOL DISSOLUTION OF INACTIVE CORP
Registration:
Aug 10, 2001
Inactive since:
Apr 9, 2009
State ID:
P01000080146
Business type:
Florida Profit Corporation
President, Director:
Carol Ampt Blomgren President, Director, inactive, 1763 Grassington Way S, Jacksonville, FL 32223 (Physical)
Agent:
Carol Blomgren,1763 Grassington Way S, Jacksonville, FL 32223 (Physical)
EIN:
59-3738448

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