| NPI | 1174765903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON PAGE GOOSSEN President 904-296-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 6380) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP1566) |
| 225700000X Massage Therapist (Licence: FL MA 20767) | |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2009-03-25 |