NPI | 1043815392 |
---|---|
Doing Business As | BOOST PHYSIOTHERAPY |
Entity Type | Organization |
Authorized Contact | MITCHELL GERALD PLANA BARROS Doctor Of Physical Therapy 904-315-2881 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2020-12-03 |
Last Update Date | 2020-12-10 |