| NPI | 1255185765 |
|---|---|
| Doing Business As | WILDFLOWER PEDIATRIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | ALEXIS NICOLE MYERS Physical Therapist 904-874-0263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-19 |