| NPI | 1457729071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF PARKS Lead Physical Therapist Owner 904-562-8571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: FL OT-8953) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL OT-8953) |
| 283X00000X Rehabilitation Hospital (Licence: FL OT-8953) | |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |