| NPI | 1902954662 |
|---|---|
| Doing Business As | THERAPY SOURCE |
| Entity Type | Organization |
| Authorized Contact | HOLLY PETERS CEO 904-396-1462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL OT 9707) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |