| NPI | 1558917484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM REGAN President And Director 904-806-6403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2020-08-20 |