| NPI | 1184153819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS SCOTTO Physical Therapist 904-370-3257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT28507) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2019-06-06 |