| NPI | 1700823044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE SHEPPARD Practice Administrator 850-897-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2016-04-28 |