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General NPI Number Information
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NPI Number | 1124274881
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Entity Type | Organization
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Legal Business Name | THERAPYWORKS OF JACKSONVILLE INC
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 1819 HENDRICKS AVE STE 3
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City | JACKSONVILLE
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State | FL
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Zip | 32207-3303
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Country | US
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Telephone | 904-348-5511
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Fax | 904-348-6601
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Provider Business Mailing Address
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Address Line | 1819 HENDRICKS AVE STE 3
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City | JACKSONVILLE
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State | FL
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Zip | 32207-3303
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Country | US
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Telephone | 904-348-5511
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Fax | 904-348-6601
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Authorized Official
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Title or Position | OWNER
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Name | KENYETTA FRANCINE MORALES
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Credential |
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Telephone | 704-604-4699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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