| NPI | 1326854159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT C KNISLEY Chief Operating Officer 850-545-5318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2024-12-06 |