| NPI | 1780132662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JUSTICE Owner/Physical Therapist 904-434-5737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT28237) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MM35163) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |