Most Relevant Information
Provider Data
| NPI Number: | 1003389925 |
| Provider Name: | SAVANNAH FAULK PT, DPT, LSVT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT34215 |
Most Important Dates
| Enumeration Date: | 01/03/2019 |
| Last Updated: | 01/03/2019 |
Provider Practice Location
1325 SAN MARCO BLVD STE 200
JACKSONVILLE
FL
322078566
Practice Location Phone/Fax
| Phone: | 9044779287 |
| Fax: |
Provider Mailing Location
1040 W DORCHESTER DR
JACKSONVILLE
FL
322596284
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |