| NPI | 1275688129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LYNN MCMANUS Exec. Director 850-769-7960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |