| NPI | 1942467139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA T. DAMPIER Managing Member/Owner 850-942-4988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT20953) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |