| NPI | 1548407521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LOMAGLIO Owner 904-217-4259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT22437) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL PT22437) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2020-04-09 |