| NPI | 1912379959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIGHAM NATHANIEL GRIEVE Physical Therapist Assistant 904-268-4953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PTA25570) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |