| NPI | 1295600765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS MOURIER PT, D PT 904-834-0975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2025-10-06 |