| NPI | 1053854711 |
|---|---|
| Doing Business As | PHYST |
| Entity Type | Organization |
| Authorized Contact | CHAYLA CREER Owner/Doctor Of Physical Therapy 904-613-1195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT29037) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2019-02-10 |