| NPI | 1316054778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ELIZABETH ROCHELEAU President 904-806-8424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT19568) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2010-07-01 |