| NPI | 1730275843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY A STRAUB President/Owner 904-389-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: FL HCC4617) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |