| Great Strides Rehabilitation Inc. | |
|
12276 San Jose Blvd Ste 508 Jacksonville FL 32223-8618 | |
| (904) 886-3228 | |
| (904) 404-7743 |
| Full Name | Great Strides Rehabilitation Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12276 San Jose Blvd Ste 508, Jacksonville, Florida |
| Authorized Official Name and Position | Amanda Streeter (VICE PRESIDENT) |
| Authorized Official Contact | 9049444063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Strides Rehabilitation Inc. Po Box 932184 Atlanta GA 31193-4912 Ph: (904) 886-3228 | Great Strides Rehabilitation Inc. 12276 San Jose Blvd Ste 508 Jacksonville FL 32223-8618 Ph: (904) 886-3228 |
| NPI Number | 1043634645 |
|---|---|
| Provider Enumeration Date | 02/18/2014 |
| Last Update Date | 09/13/2022 |
| Certification Date | 09/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043634645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (Florida) | Primary |
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