Organization Name: | BODY WORKS STUDIO INC |
NPI Number: | 1659564920 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA BARONI CAREY (PHYSICAL THERAPIST/PRESIDENT) |
Mailing Address: | 214 Orange St Neptune Beach |
State: | FL US |
Postal Code: | 322665125 |
Phone Number: | 9042464900 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2007 |
NPI Last Update Date: | 10/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT 12071 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |