| NPI | 1740430958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL NOSSE Owner 904-525-0635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT9465) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT11540) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA8670) | |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |