| NPI | 1164507422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE TAN Administrator/Chief Legal Officer 904-260-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2023-11-06 |