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 |