| NPI | 1992930218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN LYNNE MURRAY President 386-679-2914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT22801) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2009-05-17 |
| Last Update Date | 2022-01-21 |