| NPI | 1144938481 |
|---|---|
| Doing Business As | SCOLIOSISPTJAX |
| Entity Type | Organization |
| Authorized Contact | DONNE ORDILE Owner 904-881-7612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-07 |