NPI | 1376159178 |
---|---|
Doing Business As | INTEGRA PHYSICAL THERAPY AND MASSAGE |
Entity Type | Organization |
Authorized Contact | DARLENE TAN Administrator 904-612-4588 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2020-09-17 |
Last Update Date | 2020-09-18 |