| NPI | 1144681537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCI J GRAY Physical Therapist 850-999-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT18637) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-31 |