| NPI | 1336498864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA NICOLE ATKINSON Insurance & Billing COO Rdinator 850-656-1837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 4626) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2013-04-25 |