| NPI | 1023106127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN POLAND HUFFMAN President 904-794-6760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: FL PT 12766) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2011-10-05 |