| NPI | 1720456254 |
|---|---|
| Doing Business As | PERFORMANCE PHYSICAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CASEY G MORRIS Owner/ Chiropractor 904-241-7907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |