| NPI | 1164776662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARROW BURNETTE Owner/Physical Therapist 904-403-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT19660) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |