| NPI | 1396106621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANZ TABORA Physical Therapist 904-771-3679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center Occupational Medicine (Licence: FL OT9498) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |