| 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 | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2024-04-30 |