NPI | 1740945674 |
---|---|
Entity Type | Organization |
Authorized Contact | KATE DEVALERIO Co Owner, Physical Therapist 904-210-0332 |
Organization Subpart ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
Enumeration Date | 2021-11-04 |
Last Update Date | 2021-11-04 |