| NPI | 1922506120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN BESA WHITE Owner 386-401-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT32520) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2023-01-27 |