| NPI | 1033623590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO A KOLOGLU Owner/Physical Therapist 321-947-6417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT17439) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |