| NPI | 1962079467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HENRY BAUGHMAN Physical Therapist / Partner 904-853-5106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-06-04 |