| NPI | 1396869160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EHAB M ABDELMALEK Physical Therapists 904-389-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL pt16803) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |