NPI | 1093736183 |
---|---|
Entity Type | Organization |
Authorized Contact | PAULA NELSON Owner/President 850-769-5371 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT5280) |
Enumeration Date | 2006-07-22 |
Last Update Date | 2020-08-22 |