| NPI | 1467957977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILE BAKER Contracting And Credentialing Coord 850-877-8855 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |