| NPI | 1568498236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER VON MAACK CEO, Owner 850-763-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL HCC5287) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2020-08-22 |