| NPI | 1427548544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY MICHAEL MCNEILL Owner 904-551-0946 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PTA23708) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2023-10-02 |