| NPI | 1063465540 |
|---|---|
| Doing Business As | CENTER IMT JACKSONVILLE |
| Entity Type | Organization |
| Authorized Contact | LORI HAMNANN Physical Therapist 904-726-0805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-05-08 |