| NPI | 1295101806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CHADWICK WHITEFIELD Owner 904-753-1624 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30674) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |