| NPI | 1578239687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA ANN FINNEGAN Member/Physical Therapist 386-793-6280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |