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NPI Code Detail

MEDICARE: CHRISTOPHER O'LESSKER PT, DPT

MEDICARE:   CHRISTOPHER  O'LESSKER  PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730667635
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER O'LESSKER PT, DPT
Provider Business Mailing Address
First Line : 9759 SAN JOSE BLVD STE 4
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32257-5418
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12350 SAN JOSE BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32223-2800
Country : US
Telephone Number : 904-618-3778
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2018
Last Update Date : 04/29/2024

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Directions to “ CHRISTOPHER O'LESSKER PT, DPT” Practice Location

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