| NPI | 1780865360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB COREY BARR President 386-299-3192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT18544) |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2008-01-10 |