| NPI | 1467594358 |
|---|---|
| Former Legal Business Name | PREMIER P.T. MARKETING |
| Entity Type | Organization |
| Authorized Contact | CHRIS M. KOPP Owner 904-996-6922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT13725) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2024-02-29 |