| NPI | 1952180267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA NOEL JOHNSON Physical Therapist 904-377-3068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-09-26 |