| NPI | 1831344977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANN HAMANN President 904-249-8865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: FL 21508) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2017-01-17 |