| NPI | 1255679635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA HUGGARD PT 386-410-4904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL p12000082003) |
| Enumeration Date | 2013-01-20 |
| Last Update Date | 2013-01-20 |