| NPI | 1124176540 |
|---|---|
| Other Name | JACKSONVILLE ORTHOPAEDIC INSTITUTE REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY EDWIN WALL Administrator 904-858-7045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL351) |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2019-01-08 |