| NPI | 1912587049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINETTE COLE Physical Therapist/Owner 904-330-4104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-13 |