| NPI | 1609153535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERRY ADIBE Physical Therapist 904-405-9820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 0329251) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2011-11-07 |