| NPI | 1780924159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN M WELLS Owner And PT 904-568-1156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2020-01-30 |