| NPI | 1013135169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVON RICE Billing Manager 941-702-9973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA5010) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2024-07-17 |