| NPI | 1346399698 |
|---|---|
| Other Name | JACKSONVILLE ORTHOPAEDIC INSTITUTE REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY EDWIN WALL Administrator 904-858-7045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 171100000X Acupuncturist |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL351) | |
| 225700000X Massage Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2019-01-24 |