| NPI | 1003032897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE TUCKER Billing Manager 904-272-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT8057) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |