| NPI | 1215215157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALGIS G TARUSKI Manager 904-471-2406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: FL PT 2129) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2011-07-26 |