NPI | 1053400861 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA JOY CRAWFORD President 904-718-9335 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT21913) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2020-08-22 |