| NPI | 1124424643 |
|---|---|
| Doing Business As | EAST COAST INJURY CLINIC |
| Entity Type | Organization |
| Authorized Contact | VANESSA JACLYN WILCZAK Authorized Official 904-513-3954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology |
| 208100000X Physical Medicine & Rehabilitation | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2025-05-19 |