| NPI | 1497015598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH JACKSON President 904-342-5262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT11000) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: FL OT7576) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA299) | |
| 225X00000X Occupational Therapist (Licence: FL OT9478) | |
| 225100000X Physical Therapist (Licence: FL PT20179) | |
| 225100000X Physical Therapist (Licence: FL PT5569) | |
| 225100000X Physical Therapist (Licence: FL PT7090) | |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-06-28 |