| NPI | 1740286525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANNE BLOMGREN Owner/Physical Therapist 904-262-9295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 16806) |
| Enumeration Date | 2005-06-25 |
| Last Update Date | 2020-08-22 |