| NPI | 1124249313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARNES E SALE, III President 904-646-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL pt0003856) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-09-18 |