| NPI | 1306462270 |
|---|---|
| Doing Business As | PEDIATRIC THERAPY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE LAVERGNE Billing Agent 904-879-4230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-18 |