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 |