| NPI | 1114001377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLIN R SCARBARY Administrator 850-656-1837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT2671) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT11534) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2016-03-17 |