| NPI | 1528674074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE RELLER Executive Director 904-537-2254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |