| NPI | 1013348424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI CAMERON Director Of Managed Care 904-345-7158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2024-09-20 |