| NPI | 1841569779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKY CARREGAL Owner 904-315-8525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT20341) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL PT20341) |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2025-01-21 |