| NPI | 1265863765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB VANLANDINGHAM Founder 850-544-2962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-10 |