NPI | 1871694919 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN L HASELTINE C.E.O. 904-824-7787 |
Organization Subpart ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: FL PT21013) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2009-01-15 |