| NPI | 1215220835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA NELSON Owner President 850-769-5371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT22753) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |