| NPI | 1265855332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA N. ATKINSON Insurance & Billing Coordinator 850-656-1837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 6669) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-04-01 |