| NPI | 1013416965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLIN DONNER Owner, Physical Therapist 321-961-3805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |