| NPI | 1962734210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLY THOPPIL President 904-472-8846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2010-06-01 |