| NPI | 1205438090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALONDA JOHNSON Owner/Licensed Physical Therapist 904-321-9287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2021-01-07 |